Date

MM

DD

YYYY

Contact Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PLEASE CHOOSE LEVEL OF INVESTMENT BELOW:**

*The dominant picture in an ad must be of the property whose Member name appears upon this Contract.

Bronze - $14,375

Silver - $31,625

Gold - 62,250 (All Group Segments included)

Meetings & Convention + Specialty

Tour & Travel + Specialty

Sports + Specialty

Repeat Ad from 2019

Yes

No

Visitor Inquries

Yes

No

N/A

Visitor Inquires Contact Name

First Name

Last Name

Visitor Inquiries Contact Phone

(###)

###

####