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Web Page Authorization and Brochure Stand Request Form

Section A
Location :
Address :
City :
Local Phone # :
Section B - If needed please make updates in the appropriate space(s) below.
Name of Location

Photo
Address
City State Zip
TOLL FREE #
LOCAL #
FAX #
WEB ADDRESS
Click to enlarge photo
E-MAIL ADRESS
Go to Map
# Of Rooms   Exercise Rm   Handicap Rm
Restaurant Game Room Children Free
Rest. Adjacent Meeting Rm Pets Allowed
Lounge Coin Laundry AAA Member
Swimming Pool O=Outdoor, I=Indoor Cont Breakfast
Other Amenities
 
 

Section C - Select a color to match your decor:  
Captiva Maple Desert Oak English Oak Gunstock Walnut      
Mahogany Natural Oak Renaissance Oak  
Approved By: Date:
Your accommodation shall receive a free web page on our web site in exchange for allowing us to place a brochure stand in your lobby. Brochure stand shall remain property of National Brochure Distributors. Updates to your web page can be made at any time by calling our office or e-mailing your request to marketing@vacationerguide.com.  
Fax to:
757-491-1547  or		 Mail to National Brochure Distributors
P.O. Box 881
Virginia Beach, VA 23451		 Local
757-425-2700
Toll Free
800-368-1881