Year

Date

Condominium Association Please complete this form COMPLETELY. It will provide for your Association to have a DELEGATE authorized at Delegate Meetings, and allow a list of contacts via E-Mail for EMERGENCY also Board Members on page 2

CERT CONTACT Unit # Email Address Phone # Home-Cell

President Name Unit# E-mail Address

Phone #s Home & Cell

E-mail Address

Phone #s Home & Cell

V. President Name Unit#

Secretary Name Unit# E-mail Address

Phone #s Home & Cell

Treasurer Name Unit# E-mail Address

Phone #s Home & Cell

Delegate(1)Name Unit# E-mail Address

Phone #s Home &Cell

Alt. Delegate N a m e

Unit# E-mail Address Phone #s Home & Cell

Alt. Delegate Name

Unit# E-mail Address Phone #s Home & Cell

Association Seal

The following Associations have more than one Delegate: Golfs Edge (7) Greenbrier (2 each) Dover (9) Oxford 400 (2) Plymouth (2 each) Oxford 200 (2) Southampton (3 each) Wellington (2 each)

Important: Emergencies require we have all contact information and the list of Your delegates so they may be seated @ Delegate Assemblies. Page 1

For Associations with more than One (1) Delegate

Delegate (2) Name

Unit# E-mail Address

Delegate (3) Name

Unit#

E-mail Address

Phone #s

Home & Cell

Delegate (4) Name

Unit#

E-mail Address

Phone #s

Home & Cell

Delegate (5) Name

Unit# E-mail Address

Phone #s Home & Cell

Bd Member Name

Unit# E-mailAddress

Phone #s Home &CeIl

Bd Member Name

Unit# E-mail Address

Phone #s Home & Cell

Bd Member Name

Unit# E-mail Address

Phone #s Home & Cell

Bd Member Name

Unit# E-mail Address

Phone #s Home & Cell

Phone #s Home & Cell

Must be Attached to Page 1 with the Association Seal!

Page 2

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