A.

CONTACT INFORMATION:

1.

Full Name (first name, last name):*

2.

Street Address (street):*

3.

City:*

4.

State:*
       

Zip Code:*

5.

Email Address:*

6.

Daytime Telephone:*
(xxx-xxx-xxxx)  

7.

Evening Telephone:*
(xxx-xxx-xxxx)  

8.

Best Time to Contact:*
  
Morning   Afternoons   Evenings  

B.

RESERVATION INFORMATION:

1.

Type of Accommodation:
  
Cat CP: Crystal Penthouse w/Veranda ($19,444.*)  
Cat PS: Penthouse Suite w/Veranda ($11,343.*)  
Cat PH: Penthouse w/Veranda ($9,119.*)  
Cat A: Private Veranda ($5,592.*)  
Cat B: Private Veranda ($5,350.*)  
Cat C: Outside w/window ($4,390.*)  
Cat D: Outside w/window ($4,212.*)  
Cat E: Outside w/window ($4,038.*)  

†
  

† Minimum number of participants is required for this promotion