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Electronic Card Access Request Form
Electronic Card Access Request Form
I have received and read all the Greythorne ‐ Mt. Vernon Point Rules, Regulations, and Requirements for the proper use of the Common Facilities found under the Pool & Tennis Rules tab or Facilities tab under Pool. I understand failure to comply with any of these requirements can suspend my privileges to utilize these facilities. I understand as a resident of the community, I am responsible for the behavior of members of my immediate family and our guests. Facilities access may be changed without notice at any time with discretion of the Joint Committee. If for any reason, you are denied access to the Common facilities, please contact your Community Manager. I further understand that each household is being provided only one (1) access card that will be utilized by the entire household. Replacement cost for lost or user damaged cards is $25.00 (1st card) and $50 (2nd or more cards) which must be paid prior to replacement. Cards that become inoperable and have no obvious physical damage will be replaced at no cost to the homeowner. Any attempts at illegal duplication of the card will result in fines and suspension of privileges to utilize the common area.
Homeowner Name:
Address:
Rent/Lease:
Yes
No
Daytime Phone Number:
Home Phone Number:
Cellular Phone Number:
eMail Address:
Office Use Only
Homeowner Signature:
Account Balance:
Office Intials:
Activation Date:
De-Activation Date:
Pick-up Date:
Reason: