Owners Registration / Barcode Request....

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Welcome to Island Club West, please complete the information below.

Email *

Owner(s) Full Name (Not Corporation) *

Is the property under a Corporation? If so state corporation's name. *

Property Number *

ICW Property Street *

Will you have a Property Manager (PM), if so include PM's name. *

Property Manager's Email -- If applicable

Drivers License # // Issues State *

Best Phone Number to contact the owner. *

Purchase date *

YYYY

Will the Owen be living the property? If so, list all individuals that will be living in the unit. *

Besides yourself

How many individuals over the age of 6 will be residing in the unit. If applicable

Property Style *

Are you registering a vehicle or purchasing an Access Card? Please indicate below *

Vehicle Registration & Barcode ($50 Per Vehicle) NO comercial or advertisement allowed

Access Card ($25 per card)

No, we will not be residing at ICW and do not wish to purchase any of the above

Other:

Required

Total Amount to be Paid, if any. *

Payment Reference # (Provided by Bank) If applicable.

List ALL vehicles being registered. (Tag# - Make and Model) Write "None" if no vehicle. *

Document Agreement / Acknowledgment *

I understand that for me to receive final credentials, I am required to send a copy of the HUD or closing documents to the community Office (icwclubhouse@gmail.com), I also understand that this is a deed restricted community and every resident needs agree to a background, register their persona and any vehicle with the office.

I AGREE to send documents to icwclubhouse@gmail.com and understand that my application will NOT be processed until the requiered documents have been received.

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