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LONG POINT RATEPAYERS' ASSOCIATION
P.O. Box 34, Port Rowan, ON N0E 1M0
www.longpointrpa.com
Primary Name
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Spouse or Co-owner
Long Point Address
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Long Point Phone Number
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Other LP Property that you own
Mailing Address
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Prov/State
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Postal Code/Zip Code
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City
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Email Address
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Confirm Email
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Phone Number(s)
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Emerg Contact (if we cannot contact you)
Method of Payment: 1. E-transfer (use email: info@longpointrpa.com) 2. Mail to P.O. Box 34, Port Rowan, ON N0E 1M0
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E-transfer
Mail
Security response for E-transfer should be sent by separate email to
:
info@longpointrpa.com
Do you consent to receive emails from LPRA? (eg. newsletter, updates etc.)
*
No
Yes
Would you be willing and able to serve as an LPRA director if requested?
No
Yes
Do you have security surveillance cameras and would you be willing to share the video if requested by the OPP in the course of an investigation?
No
Yes
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