\u0932\u0917\u0941\u0928\u093e \u0935\u0941\u0921\u094d\u0938 \u0935\u093f\u0932\u0947\u091c<\/p>\n
Attn: Resident Services<\/p>\n
Village Management Services, Inc.<\/p>\n
\u092a\u0940.\u0913. \u092c\u0949\u0915\u094d\u0938 2220<\/p>\n
Lf<\/p>\n
Laguna Woods, CA 92654-2220<\/p>\n
Phone: 949.597.4600<\/p>\n
~~<\/p>\n
Fax:<\/p>\n
949.268.2515<\/p>\n
\u0932\u0917\u0941\u0928\u093e \u0935\u0941\u0921\u094d\u0938 \u0935\u093f\u0932\u0947\u091c<\/p>\n
NON-RESIDENT MEMBER<\/p>\n
ANNUAL GATE PASS APPLICATION<\/p>\n
e Complete all required information; applications without required information will not be processed.<\/p>\n
* Submit one application for each Non-Resident Member, unless there are multiple Non-Resident Members with<\/p>\n
the same mailing address.<\/p>\n
* Resident Members may not apply for a Non-Resident Member Pass.<\/p>\n
o Return the completed application to the address above.<\/p>\n
NON-RESIDENT MEMBER(S) MAILING ADDRESS<\/p>\n
Last Name<\/p>\n
First Name<\/p>\n
Member ID Number<\/p>\n
Last Name<\/p>\n
First Name<\/p>\n
Member ID Number<\/p>\n
\u092a\u0924\u093e<\/p>\n
\u0936\u0939\u0930<\/p>\n
State & Zip<\/p>\n
Home Phone Number<\/p>\n
Cell Phone: (<\/p>\n
(<\/p>\n
)<\/p>\n
One manor address per box (numbers and letter combination) please<\/p>\n
1<\/p>\n
2<\/p>\n
3<\/p>\n
4<\/p>\n
5<\/p>\n
6<\/p>\n
| CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION SUBMITTED IS CORRECT, AND |<\/p>\n
FURTHER ATTEST THAT IF THE DWELLING UNIT IS OCCUPIED, IT IS OCCUPIED ONLY BY BOARD-<\/p>\n
APPROVED RESIDENTS, ONE WHO IS AT LEAST 55 YEARS OF AGE OR OLDER.<\/p>\n
\u0924\u093e\u0930\u0940\u0916<\/p>\n
Non-Resident Member Signature<\/p>\n
Received Date<\/p>\n
Issue Date<\/p>\n
Issued By (Check One):<\/p>\n
[] U.S. Mail [] In Person<\/p>\n
Revised 04.27.2018<\/p>","protected":false},"author":2,"featured_media":0,"template":"","document_category":[1084],"document_type":[53],"class_list":["post-18382","document","type-document","status-publish","hentry","document_category-community-access","document_type-other"],"acf":{"document":310,"resolutions":null,"legacy_id":"","pdf_extracted_text":""},"yoast_head":"\n