Please complete this form and choose one of the following options:

1. Click the submit button -OR-
2. Print the form and fax it to (804) 346-8850, -OR-
3. Print this form and mail it to:
   Club Land’or
   4050 Innslake Drive, Suite 204
   Glen Allen, VA 23060

*Required Fields

Name*:

Member Number*:

Address*:

City*:

State*:

ZIP*: 

Country:

Telephone*:

Fax: 

Email*:

Deposit Week for year:

IMPORTANT: Once you have deposited your week, you may not offer that week for rental or exchange through another service without contacting Land'or Reservations Department. All weeks deposited will be held for 24 months from the time of deposit. Unused weeks will be forfeited after that time.

Exchange Request Details

Desired Area (four locations must be provided)
 

Travel Dates in order of Preference: (four dates must be provided) mm/dd/yyyy
 

Number of traveling adults:    children:

Exchange Fee:
Domestic Destinations: $149 per week exchanged
International Destinations: $199 per week exchanged

If paying by credit card, please submit this completed form and call 800-552-2839 to complete payment.

Signature:
(if mailing or faxing)::

___________________________________________________

Date:

___________________________________________________

I will mail a check payable to Club Land’or 

Notes/Requests:

 
Your Initials*:
By initialing here and submitting this form (either through our web site, mail or fax), you are hereby depositing the vacation week described above. You acknowledge that you have read the Terms and Conditions of Land'or and agree that such terms and conditions govern this deposit and all subsequent exchange requests.