Worksheet Printeable EN
Worksheet Printeable EN
Worksheet Printeable EN
PALLADIUM
T R AV E L C L U B
Date / /
Day Month Year
A. Membership
EN
Member Information
Member 1 Birthday / /
First Name Last Name Day Month Year
Member 2 Birthday / /
First Name Last Name Day Month Year
Beneficiaries Birthday
Anniversary / /
Day Month Year
Address First Name Last Name Day Month Year
Country Zip Code First Name Last Name Day Month Year
Contact Information
Home Office
Country Area Telephone Country Area Telephone
Mobile Fax
Country Area Telephone Country Area Telephone
Email 1 E-mail 2
Membership Information
Type Years Palladium Nights Worldwide Weeks
Membership Value $
Initial Investment ( )% $
Processing Fee $
Total Initial Investment $
Total Amount to be Financed( )% $
Payment Plan
Months Monthly Payment $ USD % Interest First payment in days.
Special Provision
PTC.SLS.1299.EN
PALLADIUM
M E M BERSH I P I N FOR M AT ION A
Membership No.
T R AV E L C L U B Date / /
Day Month Year
Membership Information A
EN
Member Information
Member 1 Birthday / /
First Name Last Name Day Month Year
Member 2 Birthday / /
First Name Last Name Day Month Year
Notes
Membership Value $
Initial Investment ( )% $
Processing Fee $
Total Initial Investment $
Total Amount to be Financed( )% $
Payment Plan
Months Monthly Payment $ USD % Interest First payment in days.
Special Provision
CC VP FM DR
PTC.SLS.1299.EN
B . M E MBERSHI P U P G R A DE Membership No.
PALLADIUM
T R AV E L C L U B
Date / /
Day Month Year
B. Membership Upgrade
EN
Member Information
Member 1 Birthday / /
First Name Last Name Day Month Year
Member 2 Birthday / /
First Name Last Name Day Month Year
Beneficiaries Birthday
Anniversary / /
Day Month Year
Address First Name Last Name Day Month Year
Country Zip Code First Name Last Name Day Month Year
Contact Information
Home Office
Country Area Telephone Country Area Telephone
Mobile Fax
Country Area Telephone Country Area Telephone
Email 1 E-mail 2
Membership Information
Type Years Palladium Nights Worldwide Weeks
New Membership Value $
Value of Previous Membership $
Cost of Membership Upgrade $
Initial Investment ( )% $
Processing Fee $
Total Initial Investment $
Balance from Previous Membership $
Amount to be Financed for Upgrade $
Total Amount to be Financed( )% $
Payment Plan
Months Monthly Payment $ USD % Interest First payment in days.
Special Provision
PTC.SLS.1299.EN
PALLADIUM
U P G R A DE I N FOR M AT ION B
Membership No.
T R AV E L C L U B Date / /
Day Month Year
Upgrade Information B
EN
Member Information
Member 1 Birthday / /
First Name Last Name Day Month Year
Member 2 Birthday / /
First Name Last Name Day Month Year
Notes
CC VP FM DR
PTC.SLS.1299.EN
C . M E M BERSH I P T R A DE I N Membership No.
PALLADIUM
T R AV E L C L U B
Date / /
Day Month Year
C. Membership Trade In
EN
Member Information
Member 1 Birthday / /
First Name Last Name Day Month Year
Member 2 Birthday / /
First Name Last Name Day Month Year
Beneficiaries Birthday
Anniversary / /
Day Month Year
Address First Name Last Name Day Month Year
Country Zip Code First Name Last Name Day Month Year
Contact Information
Home Office
Country Area Telephone Country Area Telephone
Mobile Fax
Country Area Telephone Country Area Telephone
Email 1 E-mail 2
Membership Information
Type Years Palladium Nights Worldwide Weeks
Membership Value $
Value of Previous Property $
Starting Balance $
Initial Investment ( )% $
Processing Fee $
Total Initial Investment $
Total Amount to be Financed( )% $
Payment Plan
Months Monthly Payment $ USD % Interest First payment in days.
Special Provision
PTC.SLS.1299.EN
PALLADIUM
T R A DE I N I N F ORM AT ION C
Membership No.
T R AV E L C L U B Date / /
Day Month Year
Trade In Information C
EN
Member Information
Member 1 Birthday / /
First Name Last Name Day Month Year
Member 2 Birthday / /
First Name Last Name Day Month Year
Notes
Membership Value $
Value of Previous Property $
Starting Balance $
Initial Investment ( )% $
Processing Fee $
Total Initial Investment $
Total Amount to be Financed( )% $
Payment Plan
Months Monthly Payment $ USD % Interest First payment in days.
Special Provision
CC VP FM DR
PTC.SLS.1299.EN
PALLADIUM
T R AV E L C L U B
B EN EFI T S UM M A RY
Membership No.
Date / /
Day Month Year
Benefit Summary
Your membership covers 3 years of annual fees with RCI and eliminates the annual
Member’s Member’s
Initials Initials fees with the companies DAE and SFX.
Reservations to Grand Palladium Hotels and Resorts can be made 2 days prior to
Member’s Member’s
Initials Initials arrival. Guarantee availability by booking 90 days in advance.
Palladium Travel Club preferential rates indicated in the All-Inclusive chart are per
Member’s Member’s
Initials Initials person per night.
Palladium Travel Club preferential rates are protected from inflation by strictly
Member’s Member’s
Initials Initials adhering to the Consumer Price Index of the U.S.A and may not suffer any
increments exceeding 5 C.P.I* points for our Members’ protection.
Any special offers, promotions and incentives are available only for today.
Member’s Member’s
Initials Initials
Member Name
First Name Last Name
Member Name
First Name Last Name
Change of Suite
Yes No for days New Room No. Adults Children
ID Bracelet
Blue Gold Black
Dinner Reservations
Yes No Restaurant Party of Time :
Welcome Gift
Champagne Bottle Fruit Basket Chocolate & Strawberries Other
Membership Status
Pending Processing
Membership Type
Junior Jr Royal Gov: Gov. Plus Pres. Amount Purchased $
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