Ventana Canyon Community Association

confidencehandElectronics - Devices

Nov 27, 2013 (3 years and 7 months ago)

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Ventana Canyon Community Association


P.O. Box 17539 Tucson, AZ 85731 Phone: (520) 623
-
2324 Fax: (520) 722
-
5039


BARCODE REQUEST FORM

(Please return completed form to the VCCA office

or fax to number above
)


Vehicle barcodes for residents, guests, and day workers are available at $5.00 each. Pass
cards are $10.00 each. Please remember homeowners are responsible for

barcodes
purchased for their guests and day workers.


(PLEASE PRINT)

NAME____________________________________________________LOT#____________


ADDRESS________________________________________PHONE# _________________


Vehicle:

PLEASE CIRLCE:


owner,


ren
ter,


guest,

day worker

Access Times:


24 hr. access




Mon


Sat. 7:00 am


5:00 pm

VEHICLE DESCRIPTION: YR_____ MAKE_____________MODEL___________________

LP # __________ STATE: ________ REGISTERED TO: ____________________________

IF REPLACEMENT:

OLD BARCODE # ___________ and LICENSE # __________________

FEE: $5.00







CARD# (office use) _______________

*****************************************

Vehicle:


PLEASE CIRLCE:


owner,


renter,


guest,

day worker

Access Times:


24 h
r. access




Mon


Sat. 7:00 am


5:00 pm

VEHICLE DESCRIPTION: YR_____ MAKE_____________MODEL___________________

LP # __________ STATE: ________ REGISTERED TO: ____________________________

IF REPLACEMENT: OLD BARCODE # ___________ and LICENSE # __________
________

FEE: $5.00







CARD# (office use) _______________

*****************************************

PASS CARD:


PLEASE CIRLCE:


owner,


renter,


guest,

day worker

Access Times:


24 hr. access




Mon


Sat. 7:00 am


5:00 pm

VEHICLE DESC
RIPTION: YR_____ MAKE_____________MODEL___________________

LP # __________ STATE: _____ REGISTERED TO: _______________________________

IF REPLACEMENT: OLD BARCODE # ___________ and LICENSE # __________________

FEE: $10.00







CARD# (office use) ________
_______


ALL INFORMATION IS REQUIRED TO PROCESS REQUESTS