Name*FirstLast Property Address* PML Property AddressGroveland, CA 95321 PML Phone Unit and Lot # (Multiple Lot Owners Please list all unit & Lots)* Lot Status*HouseLotStructureConstruction Property is Rented*Long TermShort TermNot Rented Property Managed by: Mailing Address Mailing Address City State / Province / Region Postal / Zip Code Phone Cell Phone Other Phone Email 2nd Email 3rd Email 4th Email Emergency Contact Name: Emergency Contact Phone: Opt Out of PMLA Membership ListPursuant to California Civil Code Section 5220, the undersigned member(s) opts out of sharing his or her name, property address, mailing address and E-Mail address on the membership list and prefers to be contacted directly my PMLA. This opt out shall remain effective until PMLA is otherwise notified in writing by the undersigned member(s). Would you like to share your information on the PMLA Membership List? *NoYes PMLA Membership List. Intital Below:* E-Mail Statement and Required Documents AuthorizationPursuant to California Civil Code Section 4055, the undersigned member(s) Choose to enroll in the PMLA E-Mail Statement and required documents service("e-mail statement and documents"). I have read and agree to the Terms and Conditions ( see link below) set forth as a condition for participation in this service. I understand that there is no charge for this service.Terms and Conditions Would you like to enroll in the Email Statements and Documents program?*Yes No E-Mail Statement & Required Documents Authorization. Initial Below: * I hereby authorize PMLA to update their membership records with the above, current information, as of the date below. This information will be used for all lots that I own.*FirstLast Date*Send a copy of this message to yourselfSubmitReset
