Select Registry Membership Information Request Form
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Property name: *
Number of rooms: *
Do all of the guestrooms have private en-suite bathrooms? (This is a requirement for Select Registry Membership) *
Average Room Rate *
Website address: *
Your name: *
Your relationship to the property (choose all that apply):
Email Address *
Your telephone number: *
Street address:
City:
State / province / region:
Zip / postal code:
How did you hear about Select Registry? *
Additional Comments
 We appreciate your interest in Select Registry Membership. We will review the information provided and will be in touch soon!
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