Membership is being offered for $139.00 a year for Silver Spa Membership ~or~ $69.00 a year for Bronze Club Naples Membership. To join, please provide the following membership application information:

Select Membership Type
	$139.00 Silver Spa Membership
	$69.00 Bronze Club Naples Membership
Name
Street address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
E-mail
Credit card type	Amex MasterCard Visa
Card Number
Expiration date
Name on card

The following questions are optional.

I am a full time resident.

I am a part-time resident.
     Which Months
         J F M A M J
         J A S O N D
     I Own Property in South Florida?
     I Plan on Becoming a Full Time Resident?

I am a tourist/visitor.
     When visiting southwest Florida I usually stay at:
          Resort, Hotel or Motel
          Rental Property (Condo or Home)
          RV Park
          Campground
          Private Residence with family or friends

I am an annual visitor to southwest Florida
     I usually visit during the following months
         J F M A M J
         J A S O N D

     Cities Visited - check all that apply
     Naples Marco Everglades
     Sanibel/Captiva Bonita
     Ft. Myers Miami Florida Keys

     Number of Visits

I have the following interests when visiting the area
     Restaurants and Nightlife Cultural, Art and Entertainment
     Shopping Sightseeing and Attractions Fishing/Boating Golf
     Spas Everglades Beach Events Retirement
     Second Home Eco Tourism

What is Your Income Level
     Below 50K 50K-100K
     100K-200K Above 200K

I have read & understand the following terms & conditions and
      I would like to order Club Naples Membership.

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