Please Fill Out & Return Completed Form To
HBWPOA
PO BOX 1680
SHALLOTTE, NC 28459
or
Owner Information:
Lot #: _________ Name: _________________________________________________
Holden Beach West Address: _________________________________________________
Primary Email ______________________________________________________________
Secondary Email ____________________________________________________________
House Name:_______________________________________________________________
Home Phone: __________________ Beach Phone: __________________________
Business Phone ________________ Mobile or Emergency Phone: ______________
Permanent Address IF NOT a HB West resident: __________________________________
City___________________ State __________________ Zip Code __________________
For Rental Properties:
Will you be renting your property? _____Yes ______No
Rental Agency: _________________________________________________________
Rental Company Address: __________________________ Phone _______________
Does your Rental Agreement prohibit large gatherings or parties? Yes_______ No ______
Please Note: Article 47F of the North Carolina Condominium Act allows specific information to be public. Should you not want any other details displayed in an owner only directory, please indicate here.
____________Yes, you may include ___________No, you may not include