Register with The Yacht Club Now!!

If you are interested in the luxury The Yacht Club on the Intracoastal offers, let us know! Fill out this form as fully as possible so we can provide you with the best available information.

* Indicates a required field
*First Name:
*Last Name:
*Address:
*City / Town:
*State / Province:
*Zip / Postal Code:
*Home Phone:
Cell Phone:
*Email Address:
*Best time to call:
*How did you hear about us?	---- select ---- Palm Beach Post Sun Sentinel Billboard Direct Mail Internet Banner Ad Internet Search Florida New Home Map Guide Florida New Homes Guide Radio Realtor Referral Signage Other - enter your preference below
	If other, please enter your preference here.
*Home Ownership:	---- select ---- Own Rent
Your approximate gross total income:	Please use only digits, no symbols.
How much do you have for a down payment?	Please use only digits, no symbols.
Where are you employed?
*Age category:	---- select ---- Under 20 20-24 25-34 35-44 45-54 55+
*Marital status:	---- select ---- Married Single Divorced Other
*Do you have any pets?	---- select ---- Yes No
*Will children be living with you?	---- select ---- Yes No
*Size preference:	---- select ---- 1 Br Condo 2 Br Condo 3 Br Condo 2 Br Townhome 3 Br Townhome
*Preferred price range:	---- select ---- $200,000 to $250,000 $250,000 - $300,000 $300,000 - $350,000 $350,000 - $400,000 $400,000 - $500,000
*What is your main reason for purchasing?	---- select ---- As primary residence As a second or vacation home As a corporate purchase As an investment Other
	If other, please enter your preference here.
*Parking spaces required:	---- select ---- 0 1 2 3 4+
*Are you interested in purchasing a boat slip?	---- select ---- Yes No
What community features would you like? (Check all that apply)	Fitness Center High Speed Internet Business Center Concierge Services Parking Garage Pool Marina Postal/Copy Service Theatre Tennis Other - specify below
Other features:
What concierge services would you like on-site? (Check all that apply)	Maid Services Dry Cleaning Postal Service Business Services Handyman Services Close to Shopping Personal Trainer Messenger Service Computer Setup & Training Personal Assistant Babysitting & Nanny Referral Pet-sitting Shopping & Gift Wrapping Reservation & Ticket Acquisition Travel Arrangements Vehicle Care Massage Services
Other services:
What physical acitivites do you enjoy? (Check all that apply)	Bicycling Bowling Clubbing Dancing Exercising Golfing Participating in Sports Swimming Shopping Tennis Walking Weightlifting Yoga/aerobics Other - specify below Raquetball
Other physical activities:
What other activities do you enjoy? (Check all that apply)	Art Concerts Crafts/Hobbies Dining Out Gaming Gardening Hosting/Entertaining Massage Movies Social Clubs Barbecuing Other - specify below
Other activities:
Is there anything else you would like to tell us?