Valleyfield Homeowners Association, Inc.
Member Pool Card Key Receipt Form
This form
serves as a receipt for each member’s new pool card key. Each homeowner is
entitled to one key, programmed based on their home’s address in the community.
Loss or damage of this card will require member to purchase a new card for a
fee of $5.00. Please report all lost or stolen cards to the VHOA Board of
Directors as soon as possible to ensure card is not used by unauthorized
personnel. Signing this form, members agree to continue to abide by all VHOA
documents including the Declaration of Covenants, Conditions, Restrictions, and
Easements, and the associated Community Bylaws. Non-compliance with these
documents or failure to pay your quarterly dues can result in loss of access to
the pool and other community activities as stated in Article 6.4 of the
Declaration. [Article 6.4: If the violation is the nonpayment of any general or
special assessment, the Association shall have the right to suspend the offending
Owner’s voting rights and the use by such Owner, his agents, employees and
invitees of the Common Areas in the Subdivision for any period during which an
assessment against the
Member’s Name
(Print):__________________________________________
Member’s
Signature:_____________________________________________
Member’s
Street Address:_________________________________________
Today’s date:___________________
Lost Key
_____ $5.00 New Key ______
If you are in
compliance with the VHOA documents and current on your homeowner’s dues, please
fill out and sign this form. Forms should be dropped off in the mailbox on the
pool's main gate unless this is a lost key application. We will then be
distributing the pool card keys to each homeowner as soon as we can after we
are in receipt of your form. Please
allow 5-7 business days for your key. Please make every effort to return this
form as soon as possible. Thank you for your support.
Please remit
$5.00 payment for lost key to
1140 Holly Springs Rd.
Holly Springs, NC 27540
Phone: (919) 521-5394