REGISTRATION FORM - INSTRUCTIONS:
If you are paying by credit card, use this form to expedite your Emerald Fantasy registration and lock up the dates you desire. Please note: You must provide your name, phone and e-mail address 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: After you submit this registration form, you'll be forwarded to PayPal to complete payment. By filling out this form and passing through the PayPal payment gateway 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 pre-payment, to us.

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

Please complete all fields in form below.

NAME: (required to use this form)

CITY:

STATE/PROVINCE & ZIP:

COUNTRY:

MAIL ADDRESS:

PHONE: (required to use this form)

E-MAIL ADDRESS: (required to use this form)

YOUR FEMME NAME:

HOW DID YOU FIND OUT ABOUT US?

PACKAGE DESIRED:

PREFERRED DATES:

ALTERNATE DATES:

START TIME:

FEELINGS ABOUT BEING OUT IN PUBLIC:

A' LA CARTE SELECTIONS/ACTIVITIES
Sightseeing:

Movie:

Dancing:

Nail Salon Experience:

Dine-out:

Restaurant Preference:

Shopping:

What would you like to shop for:

DO YOU NEED HOTEL INFORMATION?

So we can more accurately provide for your transformation, please specify:

Skin Tone:

Age: 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:

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.

NOTE: You will submit your credit card information through PayPal's secure server after you submit this portion of the registration. The charge on your credit card will be from RS Enterprises, the parent business of Emerald Fantasy. Registrations without payment will not be processed.

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