HOMEOWNER REGISTRATION FORM
Please provide us with your contact information as well should we need to get in touch with you for any reason.
The Ponderosa Community Club Office
21100 Cayuse Street
Leavenworth, WA 98826

Name of owner(s):  ___________________________________________________

Ponderosa address: __________________________________________________

Previous owners(s): __________________________________________________
 
Owner(s) home/billing address: _________________________________________

City: _________________________________ State: __________   Zip: ___­­­­­_____

Home phone number: _______________________________

Alternate phone number: ____________________________

 

Mobile number: __________________Alternate Mobile number: _____________________

 

E-Mail address: ______________________________________

Alternate E-Mail address: ______________________________________

Would you like to be included on our group email for relevant news?  

YES or  NO  [ circle one ]

 

Would you like to receive an electronic version of the NEEDLER?

YES or  NO  [ circle one ]

 

Would you like to be included in the Ponderosa Phone Book? 

YES or  NO  [ circle one ]

 

Any concerns or questions?