Timeshare Submission Form

Community Health Training, Inc.

A Federal Non-Profit Corporation dedicated to bringing no and
low cost health care information to both professionals and the public

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Timeshare Donation Form

Please fill in all fields marked with a *
	First and Last Name	*
	Phone Number (###) ###-####	*
	Email Address	*
	Retype Email	*
	Resort Name	*
	City, St, Zip	*
	Ownership Type	*
	Do you have a deed?	*
	Amenities - Select all that apply -	Studio 1 bedroom 2 bedrooms 3 bedrooms 1 bath 2 baths Lockout Poolside Balcony Ground floor Multiple Units
	Current Resort Price
	Your Original Cost
	Annual Fees	*
	Are Your Fees Paid?	*
	Your Current Tax Bracket	*
	You must agree (check all boxes) to ALL the following	Pay $500 Fee Transfer Costs Closing Costs ALL Owners' Fees Use Closing Company Pay After Billing Date
	How long have you been trying to sell the timeshare?	*
	Current Listing Web site
	Where did you hear about is?
	Place your $50 rebate code here
	Add extra messages, comments, descrpitions, etc. here