LONG ISLAND VILLAGE OWNERS ASSOCIATION GUEST OF OWNERS REGISTRATION PLEASE PRINT INFORMATION LOT NO _________ NAMES OF ALL PERSONS WHO WILL BE STAYING AT RESIDENCE (NOTE ONLY 8 PERSONS PER RESIDENCE
1._____________________________ 2._____________________________ 3._____________________________ 4._____________________________
5._________________________ 6._________________________ 7._________________________ 8._________________________
YOUR MAILING ADDRESS: STREET OR BOX _____________________________ CITY ______________________ STATE _________ ZIP CODE _____________TELEPHONE NO.__________________ ONLY 2 VEHICLES PER LOT 1ST VEHICLE: YEAR______________MAKE____________ MODE ___________ LICENSE PLATE# ______________STATE______INS CO. _________EXP.DATE_____ DRIVER LIENSE NO.________________________________ STATE_______________ 2ND VEHICLE: YEAR______________MAKE____________ MODE ___________ LICENSE PLATE# ______________STATE______INS CO. __________EXP.DATE_____ DRIVER LIENSE NO.________________________________ STATE_______________
“IF YOU ARE BRINGING ANY OF THE FOLLOWING INTO THE VILLAGE - PLEASE CIRCLE:” RV - BOAT - TRAILER - GOLF CART - PET RECREATIONAL VEHICLE: (only one self-contained unit per lot) YEAR ________ MAKE _________ MODEL _______________________ LICENSE PLATE #: ____________ STATE _____ PROOF OF INSURANCE __________________ BOAT: TYPE: ______________________ REGISTRATION #: ______________ STATE: ______ TRAILER: BOAT ______ OTHER _______ LICENSE PLATE # _______________ STATE: ______ CART GOLF: - SIGN GOLF CART AGREEMENT POLICY 6.10 PETS: (ONLY 2 PETS ALLOWED) DOG _________ CAT_________ OTHER ____________ WRISTBANDS: SM: ______ MED: ______ LG: ______ XL: _____ TOTAL AMT._________ ARRIVAL DATE:________________________ DEPARTURE DATE:________________________ Person to contact in case of emergency
NAME__________________________________ TELEPHONE________________________________ I understand that this property is privately owned. The management conserves the right to refuse service to anyone and will not be responsible for accidents, injuries to guests, loss of money, jewelry or valuables of any kind. I understand that I must obey the rules of the Resort and that I can be evicted upon continued violation of the rules. I or any of the above persons will not hold the Long Island Village Owners Association liable for any of my action.
Signature _____________________________,Date _____________________________