Maintenance Fees Payment Form

Please fill out the form as completely as possible. Required fields are marked in bold type.

Payment Information:

Pay up to 5 invoices/weeks at a time. Fill in the invoice number, week number and amount for each.

Select Resort:

Owner #:	Contract #:	Amount: $
Owner #:	Contract #:	Amount: $
Owner #:	Contract #:	Amount: $
Owner #:	Contract #:	Amount: $
Owner #:	Contract #:	Amount: $
* Convenience Fee: $32.00 for each week paid.

Billing Information:

First Name:

Last Name:

Street Address:

City:

State/Province:

Zip:

Home Phone:

Work Phone:

Email:

Credit Card Information:

Name on card:	Type:
Card Number:			Expires: