For more information please provide the following: First Name: Last Name: Address: City: State: Zip: Email: Reenter Email:                Best Time to Call: Morning Afternoon Evening Weekends Telephone:    home work mobile Please Contact Me about: Homes at Black Diamond Ranch  Black Diamond Membership Other
	CALL: 1-800-328-8099 or 352-746-7400 352-746-5745 FAX Fax or mail us at: Black Diamond • 2600 West Black Diamond Circle Lecanto, FL 34461-9653