XX Association - 2010 Info Form

ASSOCIATION - 2010 INFORMATION FORM

Condo No. __________ Residents of this unit are:

____________________________________________

and _____________________________________________

In case of EMERGENCY, please notify: _________________________________

Relationship __________ Address __________________________________

Phone No. _________________________________

And/Or: ________________________________________________________

FOR SEASONAL RESIDENTS - OFF-season information:

Address: ________________________________________________________

Phone No. ____________________________


All unit owners are required by Florida law, to carry HOMEOWNERS INSURANCE. Please advise as follows:

My policy is held by __________________________________________
(name of Insurance Company)

The renewal date is __________________________________________
(month) (year)

2nd floor owners - Do you have a hatch to the attic in your unit? _______

SPECIAL NEEDS (need for insulin, cannot navigate stairs, kosher food only, oxygen dependent or other considerations in emergency i.e. hurricane, power outage, etc.)

________________________________________________________________

E-Mail address if applicable _________________________________________

In my absence the local CONTACT/condo care person is:

________________________________________________________________

** Please return or mail this information to __________­_______, WPB, FL 33417 Thank You