Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Email:
THE VACATION WEEK YOU ARE REQUESTING IS LOCATED:
1st Choice:
2nd Choice:
3rd Choice:
1st Choice: (Dates) From:
To:
2nd Choice: (Dates) From:
3rd Choice: (Dates) From:
HOME RESORT INFORMATION (required):
Home Resort Name:
Account Number:
Week No.
Unit No.
Color:
By submitting the Request & Deposit Form, I am authorizing Crown Vacation Exchange to use my deposited week in any manner it desires and hereby give up all rights to the use of my week for this year. I understand that the week may not be banked with another exchange company (such as RCI) and may not be placed on the rental program or used once the week is banked with Crown Vacation Exchange. I also understand that Crown Vacation Exchange will make every effort to find a match for my request, however I also understand matches are based on availability.
Note: Your Maintenance fees must be paid for the week you are depositing. Your submission indicates you have read, understand and agree with the procedures, terms and conditions of the Crown Exchange.