OFFICIAL Vacation-Tyme Marketing 3 Day 2 Night FREE Getaway Registration Form

THIS FORM MUST BE COMPLETED IN FULL TO QUALIFY TO RECEIVE A FREE VACATION.
Please read the details on the qualifications page.
LIMIT ONE (1) ENTRY PER PERSON, PER HOUSEHOLD. ANY SUCH MULTI-ENTRIES WILL VOID ALL OTHER ENTRIES. INCOMPLETE FORMS WILL NOT BE ACCEPTED FOR ENTRY.

MUST BE COMPLETED IN FULL TO ENTER!
Use tab or mouse click to move from box to box.
 

First Name:
Middle Initial:
Last Name:
Spouses First Name:
Spouses Middle Initial:
Spouses Last Name:
Address:
City:
State/Province:
Zip:
Home Phone:
( ) 		 Work Phone:
( ) 
E-Mail Address: * Required. AOL users note, complete e-mail address must be used ( yourname@aol.com )
Age:
 
 		 Marital Status
Combined Family Income:
 
Credit Card Most Often Used
Do You plan to Purchase any of these items in the next 6 months?
Do you own your own home?
Where would you like to go on Vacation?
What Arrival Date do you choose?
What Depature Date do you choose?

I have read the Details of Participation.

Remember to fill out the form completely!
 

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