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Shareholders Info
Contact
Home
Shareholders Info
Contact
Data_Form
Shareholder Data Form
Kindly fill out the following and submit to Prestige Property Consultants
Unit Number
*
Building Number
*
Number of Shares
*
Year Purchased
*
MM
DD
YYYY
Shareholder's Name
*
First Name
Last Name
Shareholder's Name 2
First Name
Last Name
Co-op Telephone
*
(###)
###
####
Primary Phone Number
*
(###)
###
####
Home Fax
(###)
###
####
Work Phone
(###)
###
####
Work Fax
(###)
###
####
Email Address
*
Permanent Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Winter Address (If different from Permanent Address)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mailing Address (If different from Permanent Address)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone
*
(###)
###
####
Mortgage Bank/Company
*
Insurance Company & Policy Number
*
Thank you!