Your Name:

First:
Last:

Property lot number(s):

Purchase Information: If this is the first time you are submitting contact information after becoming a POA member, it would be helpful to have some information about your purchase.  Please provide the approximate date of purchase and the name of the selling party or agency.

Your Contact Phone Number(s):

Main:		Fax:
Alt:		Alt2:

Your E-Mail Address:

Please choose one of the following notification preferences:

	I can help the SFTR POA reduce mailing costs by receiving notifications at the e-mail address provided above.  I will also provide a postal mailing address in the event that e-mail notification is unsuccessful.
	I can’t receive SFTR POA notifications via e-mail or prefer not to.  Please use the mailing address I have provided above for notifications.

In addition, you may choose any of the following options:

	Send notifications of SFTR web site changes via e-mail.
	Do not publish my contact information on the SFTR web site for other property owners to see.  (In no case is your information available to or shared with the general public.)  Checking this box makes only your name visible to other owners.

Current Mailing Address:

Comments:
If you have any questions or comments, please use this space.