The following information will be sent to Seapointe Village Realty rentals@seapointerealty.com Please complete the form below. First Name: Last Name: Address: City: State: Zip Code: Phone: Cell:   Email: Email address requested. If you do not have an email address please call Seapointe Village Realty Source: Wall Street Journal Returning Word of Mouth On Line Drove By Inquire Pan American Chamber of Commerce Owner Block AAA How did you hear of us?: Comments: Please tell us alternate vacation dates you wish to stay. Property ID: 18878 Key Number: DV411 Address: 301 E. Rochester Ave 4th 411, WWC SAT, NJ Arrival Date: 7/29/2010 9:56:42 PM Departure Date: 7/29/2010 9:56:42 PM Rate: Rate Type Not Specifed Minimum Rate Not Specifed to Maximum Rate Not Specifed Bedrooms: Number Of Beds Not Specifed Total Sleeps: Sleeping Number Not Specifed

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