Registration for your membership package is easy! Please just complete the simple form below and we'll take care of the rest!
We will send you a confirmation e-mail when you make your request, however all membership registrations will be completed over the phone, so please provide us with a number where we can contact you.
All Fields are required.
Your Full Name
Spouse/Partner Name (optional)
Street Address
City
State
12345678901234567890
Country
12345678901234567890
Zip / Post Code
Telephone
Email Address*
If you are an existing Leisure Connections member, please enter your membership number below, otherwise leave blank.
Member #
*
Email Privacy
- When you register for our membership, you must provide a valid email address and telephone contact number. Your password and other important account information will be emailed to the address you provide. We never sell or rent the email address or telephone number that you provide when registering for membership.
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Leisure Connections
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Imperial Design
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hotline@leisureconnections.com