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Contact Information

As a homeowner and member of the Kopachuck Ridge Estates Homeowners Association you are entitled to access the Members Only area of the web site. To gain access you must fill in the form below with your contact information. The information from this form shall be used for the purposes as described in our Privacy Policy and shall not be shared with anyone or any organization outside of KREHA. By providing your information you will be granted access to the members only area of the web site and access to the members roster containing personal contact information for each member.

The information on this form is also used to enter you into our Automated Messaging System which is used to notify members of important matters of safety and security as well as meetings and other events in the neighborhood. Please go to the Messaging System page to read all about the system.



(* Req'd Info)

*First Name:
*Last Name:
Spouse's Name:
*E-mail 1:
*Street Address:
*City:
*State:
*Zip Code:
*Phone 1:
Phone 2:
*Lot:
(Div-Lot#)
(You will find your lot number on the roster.)

Please indicate your preference for the Automatic Messaging System. If you do not want to have any messages delivered to you, check the 'Opt Out' box.

Messaging System: Receive Messages
Opt Out

If you would like the Automatic Messaging System to deliver messages to other email addresses and phone numbers add them in below.

Phone 3:
Phone 4:
Phone 5:
Phone 6:
E-mail 2:
E-mail 3:
E-mail 4:
E-mail 5:

Please feel free to make any comments here.

Comments:

The Kopachuck Ridge Estates Homeowners Association takes your privacy very seriously. The information from this form shall be used for the purposes as described in our Privacy Policy and shall not be shared with anyone or any organization outside of KREHA. By providing your information you will be granted access to the members only area of the web site and access to the members roster containing personal contact information for each member.

Confidentiality Agreement.
Access to the members only area of the web site requires your agreement with the policy that you or any member of your household will not loan, disclose or make available any personal contact information contained in the members roster or any personal contact information located in the Members Only area of this web site with anyone outside of KREHA.

Check the box below that you agree with the above Confidentiality Agreement.

Agree   

Enter the code from the box below here:
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Members: Please REGISTER for the Web Site by completing the Contact Information form.

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