Authorized Representative Form

Please complete this form to authorize another individual to contact DVC Shop Rentals on your behalf.

DVC Shop Customer Details
DVC Shop Customer Details*
First Last
Phone*
Phone
Email*
Enter Email Confirm Email
Authorized Representative
Enter the name of the individual you would like to authorize to contact DVC Shop Rentals on your behalf.
Authorized Representative*
First Last
Message
Consent*
I agree to allow the above listed Authorized Representative to contact DVC Shop Rentals on my behalf in regards to any services provided to me by DVC Shop Rentals.
Signature*
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Name
This field is for validation purposes and should be left unchanged.

DVC Shop Customer Details