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6972 Lake Gloria Blvd. Orlando, Fl 32809-3200 Telephone: 407-781-1181 email: ktaylor@lelandmanagement.com
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I have read and understand and agree to the conditions of the club house rental and use policy. _______________________________ Homeowner/ Resident Signature _______________________________ Printed Name
FOR HOA OFFICE USE ONLY: Deposit Received: ____________ Check No. __________ Rental Amount: $ _____________ Check No. _________ Date: __________________ Reservation Confirmed: __________________________________ Special Conditions: __________________________________________________ Facility Status after the Event: ________________________________________________________________________________________________ Deposit Refund: $ __________ Date Refunded: _______________ Other Refund: ________________-____________ Date: ________-__________ Approved by: ____________________________________________________-------------------------------------_ Date: __________________________
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