Club Land'or - Request Exchange

Name:

Member Number:

Address:

City

State:

Zip Code:

Telephone:

Fax:

Email:

Deposit Week for year:

IMPORTANT: Once you have deposited your week, you may not offer that week for rental or exchange through another service without contacting Land'or Reservations Department. All weeks deposited will be held for 24 months from the time of deposit. Unused weeks will be forfeited after that time.

Exchange Request Details

Desired Area (four locations must be provided)

First Desired Area:

Second Desired Area:

Third Desired Area:

Fourth Desired Area:

Travel Dates in order of Preference: (four dates must be provided) mm/dd/yyyy

First Preferred Date:

Second Preferred Date:

Third Preferred Date:

Fourth Preferred Date:

Number of traveling adults:

Number of traveling children:

Exchange Fee: Domestic Destinations: $149 per week exchanged International Destinations: $199 per week exchanged

Please charge Exchange Fees to my:

Name as it appears on card:

Card Number:

Expiration Date:

I will mail a check payable to Club Land’or

Yes

Notes/Requests:

Your Initials:

By initialing here and submitting this form (either through our web site, mail or fax), you are hereby depositing the vacation week described above. You acknowledge that you have read the Section V of the Terms and Conditions of Land'or and agree that such terms and conditions govern this deposit and all subsequent exchange requests.

Enter code shown: