THE FOOTHILLS at MacDONALD RANCH MASTER ASSOCIATION Professionally Managed by: RPMG, Inc.
Real Properties Management Group., Inc. 3283 E. Warm Springs, Suite #300, Las Vegas NV 89120
GATE TRANSPONDER ORDER / PICK UP FORM DATE: DragonRidge HOMEOWNER:
Member Name:
Property
Mailing
Address:
Address
Phone:
If different: Circle One:
1
Year & Make:
Model/Color
License #:
Window or Bumper
2
Year & Make:
Model/Color
License #:
Window or Bumper
3
Year & Make:
Model/Color
License #:
Window or Bumper
4
Year & Make:
Model/Color
License #:
Window or Bumper
5
Year & Make:
Model/Color
License #:
Window or Bumper
6
Year & Make:
Model/Color
License #:
Window or Bumper
Transponder Cost: Window- $50; Bumper- $75
There are no refunds or exchanges of transponders.
Release to: Identification Required:
Yes
X
No
Amount Due:
Checked by:
Paid prior to release: Yes No Payment by check or money order number.
I have received the above transponder(s) and agree to payment as listed above.
Homeowner Signature Date PLEASE RETURN TO MANAGEMENT OFFICE VIA FAX: 702-933-7774 or EMAIL:
[email protected] For use by Management Only: Transponders Registered in System?
Date:
By:
Payment Credited?
Date:
By:
\\server1\Company Shared Folders\MacDonald Highlands\Forms\MH Transponder order- Pick Up Form.xls
