Timeshare Purchase Request Form

*   - Required Field

Personal Information

   *    Full Name :
   Salutation :
   Date Of Birth : / /    (dd/mm/yyyy)
   Occupation :
   *    Postal Address :
   *    City :
   *    State :
   *    Postal Code :
   *    Country :
   *    Home Phone No. : -
   Mobile Phone No. : -
   Business / Office Phone No. : -
   Fax No. : -
   E-mail :

Travel And Club Purchase Information

   *    Preferred Accommodation : Hotel      Chalet      Apartment
   If you have a timeshare club you wish to join, please specify here (optional):
  
   *    Your Budgeted Purchase Price : < Rm 5000
Rm 5000 - Rm 10000
Rm 15000 - Rm 20000
Rm 20000 - Rm 30000
Rm 30000 <
   *    Your Preferred Membership Tenure : Below 15 Years
   (No. of Year) 15 - 20 Years
20 - 30 Years
< 30 Years
   Top 10 World Destinations For Your Recreational And / Or Golf Club
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   Top 10 Local Destinations For Your Travel And / Or Vacation Club
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   *    Preferred Payment Mode : Cash
Credit Card
Cheque
Company
Others   
   *    Preferred Mode of Receiving Information : Brochures
Telecommunication
E-mail
On-site
Others   
   *    Household Income Approx. : < Rm 2500
Rm 2500 - Rm 5000
Rm 5000 - Rm 7500
Rm 7500 - Rm 10000
Rm 10000 <

Club Membership Information (Including Non-Timeshare Club(s))

   1st Club membership Name :
   Membership No. :
   Membership Status : Active Lapsed None
   Expiry : / /   (dd/mm/yyyy)
   2nd Club membership Name :
   Membership No. :
   Membership Status : Active Lapsed None
   Expiry : / /   (dd/mm/yyyy)
 
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