Todays Date :
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Are you interested in an expense paid vacation?
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Full Name :
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Contact Number :
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Email :
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City, State, Zip, you live in :
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Include City, State, and Zip
Are you Married or at least in a Relationship?
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Age :
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Do you have a major credit card to book reservation with resort?
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Best Time to Call?
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Who referred you?
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