REPURCHASE REQUEST - Diamond Resorts International

REPURCHASE REQUEST

Member's Name: Member's Address: Member's Telephone #: Resort Points Owned: Original Purchase Price: Resort Points to be sold to Developers:

Member's E-Mail: Membership Certificate #:

(Tendered Resort Points)

I/We wish to sell my/our Tendered Resort Points to Diamond Resorts Canada, Ltd., Diamond Resorts IW Resort Ownership U.S. Corporation, and Resort Ventures L.P. in accordance with the Embarc Repurchase Program. I attach the original of the Resort Points Certificate for the Tendered Resort Points with the reverse side endorsed for transfer.

Dated this

day of

, 20

.

Member Member

Repurchase Program ? revised 5/16

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