Daytona Beach Shores, Florida                           

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REGISTRATION CARD

UNIT#                                ARRIVAL DATE:                                DEPARTURE:

NAME(S):

CHILDREN & AGES, IF ANY:____________________________

HOME ADDRESS: __________________________________

CITY, STATE:                                       HOME PHONE:___________
RENTING:___ GUEST:                                OWNER:                                OWNERS NAME:__________

VEHICLE TYPE:                                COLOR:                                TAG STATE:______

IN EMERGENCY NOTIFY: PHONE:_________
SIGNATURE:

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