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Online Application Form

Now that you are familiar with all the privileges of Le Club, apply for classic membership online by filling in the form below ($55 per card)*.

Be sure you have a reservation number for at least one night of your visit paid at rack (standard) rate in one of the participating hotels before applying for classic membership. If you do not qualify, please call us for Prelude Membership ($35) at (888) 371-CLUB.

Secure online payment

Note: if you are a travel agent or just renewing your membership, please contact us directly to hear about our special offers. Phone: (800) 753-9696

* Required information

Note: if you are a travel agent or just renewing your membership, please contact us directly to hear about our special offers. Phone: (800) 753-9696

(*) Required information

Please, specify the number of cards requested* (3 cards maximum for transaction):

1 Card (55$) 2 Cards (110$) 3 Cards (165$)

Salutation:

First Name*:

Last Name*:

Company:

Title:

Address*:

City*:

State*:

Country*:

Postal Code*:

E-Mail Address*:

Phone:

Fax:

Have you ever been to Monaco?

Yes No

Name of hotel in Monaco*:

Monte Carlo Beach Hôtel	Hôtel Mirabeau
Hôtel de Paris	Hôtel Hermitage
Hotel Métropole	Le Méridien Beach Plaza
Monte Carlo Grand Hotel	Columbus Monaco	Other, please specify:

Confirmation number*:

Date(s) of stay in Monaco*:

Date of departure from the U.S.*:

If you wish to order additional cards, please indicate name and address if different from above.

1.Mr./Mrs./Ms.:

2.Mr./Mrs./Ms.:

Address:

City:

State:

Postal code:

Country:

E-mail:

Tell us about yourself

1.Have you ever been to Monaco?

Yes No

2.How do you book your vacations?

Directly with hotel	US reservation center
Travel Agent	Internet	Please, specify:

If you use a travel agent, please fill in the following:

Name of Agency:

Name of Contact:

Address:

City:

State:

Zip Code:

3.Your most important consideration(s) when traveling to a destination
(Please number in order of priority):

Accommodations Service Sports Accessibility Cost

Sightseeing Culture Entertainment Dining Spa

4.Which airline do you prefer for transatlantic flights?

5.Which class of service?

First Business Full economy Discounted fare

6.Which countries in
Europe will you visit?

Germany France Italy England Switzerland Other

7.What is your annual household income?

Less than $50,000 $50,000-$75,000 $75,001-$150,000 over $150,000

8.Age:

18-34 35-49 50-60 over 60

9.Do you:

Own your home Rent your home

10.Marital status:

Single Married With children

11. Please indicate any additional information you wish to receive:

PLEASE ALLOW 10 DAYS FOR DELIVERY PRIOR TO YOUR DEPARTURE DATE FROM THE U.S.


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