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Carl Sandburg Village HOA
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(active tab)
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Account Information
Username
*
Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.
E-mail address
*
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
First Name
*
Last Name
*
Home Phone Number
Please provide phone numbers in the following format; 555-555-5555
Mobile Phone Number
Please provide phone numbers in the following format; 555-555-5555
Work Phone Number
Please provide phone numbers in the following format; 555-555-5555
Unit Number
Unit Occupants
Order
Weight for row 1
0
Please list any other occupants of the unit, excluding yourself.
Are you an Owner or Renter?
*
- Select a value -
Owner
Renter
Other
Is this your primary residence?
*
- Select a value -
Yes
No
Primary Address
If the property address is not your primary address, please list your primary address below.
Primary Address
Country
- None -
United States
Emergency Information
Special Medical Attention
- None -
Yes
No
Are you or anyone in your household in need of special medical attention or have restricted mobility, which would require additional assistance in the event of an emergency?
Special Medical Attention Explanation
First Name
*
Order
*
Weight for row 1
0
Last Name
*
Order
*
Weight for row 1
0
Home Phone Number
Order
Weight for row 1
0
Mobile Phone Number
Order
Weight for row 1
0
Work Phone Number
Order
Weight for row 1
0
Email Address
Order
Weight for row 1
0
Pet Information
Please make sure all pets are registered with the Association.
Do you have any pets that reside in your unit?
*
- Select a value -
Yes
No
Number of Dogs
*
0
1
2
3
4
5
6
7
8
9
Number of Cats
*
0
1
2
3
4
5
6
7
8
9
Number of Other Animals
*
0
1
2
3
4
5
6
7
8
9
Vehicle Information
Parking Status
*
- Select a value -
No Vehicle
Floater
Permanent Parker
Make and Model
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Weight for row 1
0
License Plate Number
Order
Weight for row 1
0
Sticker Number
Order
Weight for row 1
0
Other Information
Do you have a storage locker?
*
- Select a value -
Yes
No
Storage Locker Number(s)
Order
Weight for row 1
0
Bicycle Tag Number(s)
Order
Weight for row 1
0
Contact Info Disclaimer
*
- Select a value -
Yes
No
I grant permission for my telephone and email contact information to be provided to other unit owners.
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Eliot House Condominium
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