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Community Membership Form

  1. Create User Account

  2. Full Name(*)
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  3. Username(*)
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  4. Password(*)
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  5. Email
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  6. Membership application: Community Members

  7. Community Name(*)
    Please type your Community Name.
  8. Community Address(*)
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  9. City(*)
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  10. State(*)
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  11. Zip(*)
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  12. County
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  13. Community Mailing Address
    (if different than above)
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  14. City
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  15. State
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  16. Zip
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  17. Community Phone
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  18. Fax
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  19. Email
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  20. Website
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  21. Managers Name
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  22. Type of Community(*)


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  23. Number of Spaces:
  24. Manufactured/Mobile Homes
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  25. Long Term RV (Over 180 days)
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  26. Short Term RV
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  27. Community Owner Information

  28. Name
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  29. Address
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  30. City
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  31. State
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  32. Zip
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  33. Phone
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  34. Fax
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  35. Email
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  36. Please type name of person authorized to exercise MHCA voting privileges
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  37. Property Management Firm

  38. Name
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  39. Contact
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  40. Address
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  41. City
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  42. State
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  43. Zip Code
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  44. Phone
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  45. Fax
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  46. Email
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  47. Contact Information

  48. Check all that apply
  49. Mail Newsletter, Meeting Notices, Seminar Notices to:



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  50. Mail MHCA Dues Statement to :



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  51. Community Amenities

  52. Click all that apply




















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  53. Others (Please List)
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  54. Utility Information

  55. Do you sub-meter utilities?
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  56. Utilities Paid (resident or community):
  57. Water
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  58. Sewer
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  59. Electric
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  60. Cable
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  61. Garbage
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  62. Is your gas/billing services:



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  63. Annual Membership Dues Investment

  64. For the first 750 Mobile Homes or Manufactured Homes Spaces ($6 per space)
  65. Number of Mobile/Manufactured Homes Spaces(*)
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  66. For the remaining Manufactured/Mobile Home spaces after 750
  67. Spaces ($1 per space)(*)
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  68. For the first 1500 RV Spaces
  69. Spaces ($3 per space)(*)
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  70. Remaining RV Spaces
  71. Spaces ($1 per space)(*)
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  72. Total Amount Enclosed (The minimum amount of Annual Dues is $150)

  73. Calculate Total
  74. Grand Total(*)
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  75. Credit Card
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  76. Card Number
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  77. Ex Date
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  78. Cardholder Name
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  79. Billing Address
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  80. City
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  81. State
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  82. Zip
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  83. Send Info
 
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