Complete all applicable sections of this form, print and submit to the following address:

C/o Frank M. Smith and Associates, Inc.
Attn: Jim Rathbun  P.O. Box 1368, Pinetop, Arizona 85935

(928) 369-4000 / FAX (928) 369-1071
Email to: jim@resortaz.com

Requests will be reviewed and acted on as quickly as possible.