LODGING FACILITY LISTING FORM

Please provide the following billing /contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
Web Site Address
E-mail

Please provide the following property  information: 

Type of Facility	Motel Hotel Resort Vacation Rental Cabins Select one from Drop Down List
Ad Package	6 months with picture - $50.00 1 Year with picture - $75.00
PROMOTION CODE:
Pool
Jacuzzi
Microwave In-Room
Coffee In-Room
Tennis Court
Name of Facility
Facility Address
Facility City
Facility State
Facility Zip Code
Facility Phone Number
Facility Fax Number
Facility Email Address
Facility Web Site
Rental Fee

Property Description:

Use PayPal link to pay for your ad with your credit card or bank account.  It's a FREE service.  If you have not already used PayPal to make your payment go ahead and submit this form 1st.  Then use the "Back" button on your browser to use the link on the prior page.

Make your payment from your bank account or credit card.  It's Free!!

CLICK HERE TO BECOME A MEMBER COMPANY IN OUR DISCOUNT CLUB - IT'S FREE

Press the Submit Form Button ONLY ONCE.  It may take a few seconds.