Please complete the following form. When we receive your information, we will begin your sale or rental within 24 hours. If you have not spoken to a Worldwide Timeshares Representative, please call us Toll Free for further information and program prices.

We respect your privacy. Your information will not be given to any 3rd party.

Your Name(s):
Street Address:
City, State, Zip
Home Phone:
Work Phone:
Fax, Cell, Pager:
Email Address:
Your Representative:
Complete Resort Name:
Resort City:
Resort State:
Resort Country:
Exchange Company:
Week # or "Floating":                     Unit Number:
Is Unit a Lockout: Yes No                             Occupancy:
Deeded     Lease                            Years Remaining if Lease:
Maintenance Fee:
Asking Price (Sale):
Asking Price (Rental):
Comments:
Type of Card:	Visa Master Card American Express Discover
Card Number:
Expiration Date:
Name on Card:
I authorize Worldwide Timeshares to process my card in the amount of:
Name(s) on check:
Street Address:
City, State, Zip
Name of Bank:
Bank City, State, Zip
Check Number:
Routing Number:	(first 9 numbers, bottom left of check)
Account Number:
I authorize Worldwide Timeshares to process my check in the amount of:
Best time to call for verification:	Home  Work
Our administrative department will contact you to verify your information and will MAIL you your sale and/or rental agreement. Please keep your copy, and sign and return the original in the enclosed envelope. We appreciate your business and we know you will be happy with the results!