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          MULTIPLE FIELDS FORM

            Your Details:

            First Name

            Second Name

            Email

            Phone Number

            Postcode

            Service

            Information about the company you have concerns about:

            Name of Company (required)

            Company Location (required)

            Your Concerns (required)

            Helpful facts - if applicable:

            Date paid claims / relinquishment company

            Amount(s) paid

            Payment method(s) used

            Which company/resort is your timeshare with?

            Date purchased timeshare

            Assistance/Information gathering:

            Where did you find out about Timeshare Task Force/KwikChex? (required)

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