Membership Inquiry Form - Erie Islands Resort & Marina

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Membership Inquiry (*required)
Contact Information:
Salutation:
First Name:
Last Name:
Email Address:
Street Address:
Apt./Suite:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Demographic Information:
Marital Status:
Age Group:
Combined Annual Household Income:
Primary Residence:	Own: Rent:
Which of these credit cards do you own?
Additional Information:
How did you hear about us ?
Please specify:
Please submit any additional questions or comments using the field below.


By submitting this membership inquiry form and providing my/our names and demographic information, I/We expressly consent, affirmatively request and agree to be contacted by telephone at the telephone number provided herein, including the use of an automated telephone dialer in which case a prerecorded message may be left on my/our answering machine and/or email by Erie Islands Resort & Marina, their affiliates, subsidiaries and partners concerning this inquiry, including but not limited to, the purchase of a timeshare and/or vacation package, if I/we meet Erie Islands Resort & Marina marketing demographics.
I have read and agree to the above terms.

Contact Information: