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Special Promotions for Member's Friends and Relatives Request Form
Unit type to rent at Pelican Resort Club*
Vacation Start Date*
Vacation End Date*
Adults*
Children (Under 2)
Have you stayed at Pelican Resort before?*
Yes No
Comments
First Name*:
Last Name*:
Address:
City:
State:
Country:
Zip:
Daytime phone*:
Evening phone:
e-mail*:
confirm e-mail*:
Referred by:
   
Name:
Address:
Daytime phone: