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INSTRUCTIONS:
If you are paying by credit card, you may use this secure online commerce form to expedite your Emerald Fantasy registration and lock up the dates you desire. Please note: You must provide your e-mail address, and provide your credit card information to use this form. If you prefer that we NOT contact you by e-mail please let us know in the space provided below, however an e-mail address is still required.

IMPORTANT NOTICE: By filling out this form and using your credit card, you are reserving a specific date for your Emerald Fantasy adventure. This means we cannot sell this date to anyone else. Therefore, your credit card WILL be processed, you WILL be billed for the full amount of the fantasy package that you have selected, and this amount is NON-REFUNDABLE. If you have any doubts about your ability or willingness to fulfill your obligation to show up on the date reserved... you should not register at this time.

If you are paying by check or money order, or would rather not send your credit card information through the e-mail system, you may use our print/out reservation form to snail-mail this information, plus deposit, to us

Your privacy and confidentiality are assured throughout your Emerald Fantasy experience.

NAME:
CITY:
STATE/PROVINCE:
COUNTRY:

HOW DO YOU WISH FOR US TO CONFIRM ORDER & SEND INSTRUCTIONS:
MAIL ADDRESS:
PHONE:
FAX:
E-MAIL ADDRESS: (required to use this form)
YOUR FEMME NAME:

PACKAGE DESIRED:

PREFERRED DATES:
ALTERNATE DATES:
I AM PRE-PAYING AND WILL CONTACT YOU LATER
REGARDING DATES AT LEAST 60 DAYS FROM NOW
(PLEASE APPLY 10% DISCOUNT) Yes No

START TIME:

FEELINGS ABOUT BEING OUT IN PUBLIC:

A' LA CARTE SELECTIONS/ACTIVITIES

Accommodations:

Art Museum:

Theatre:

Sightseeing:

Movie:

Dancing:

Beauty Salon Services:
Hair

Nails:

Pedicure:

Dine-out:

Restaurant Preference:

Shopping:

What would you like to shop for:

Drag Show:

FASHION CHOICES

So we can more accurately provide fitted clothing, please specify:
Height: Weight:
Waist: Chest:

Women's Dress size (if known):
Men's shoe size: Women's shoe size (if known):
Preferred clothing styles:

Preferred wig styles:

Note any extra information which will help us
make your Emerald Fantasy more special:

CREDIT CARD INFORMATION

Type of Credit Card:

Name as it appears on card: (required to use this form)

Credit Card Number: (required to use this form)

Expiration Date: (required to use this form)

By filling out this form and providing my credit card information, I understand that I am reserving a specific date for my Emerald Fantasy adventure. This means that this date cannot be sold to anyone else. Therefore, my credit card WILL be processed, I WILL be billed for the full amount of the fantasy package that I have selected, and that this amount is NON-REFUNDABLE.