Reynolds Lake Oconee Transponder Registration Form

Reynolds Lake Oconee Transponder Registration Form
Are you a:*

Property OwnerFamily Member of Property OwnerContractor

Are you a current property owner or future property owner?*

Current Property OwnerFuture Property Owner
Expected Closing Date

MonthDayYear
Date
Name of Property Owner 1*

First NameLast Name
Name of Property Owner 2 (if applicable)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com

Application Type*

NewWindshield / Headlamp ReplacementRenterVehicle Removal (please continue to fill out application)

Please provide vehicle information below:*

	Answer
License Plate #
State
Year
Make
Model
Color

Do you have a vehicle to be REMOVED?

YesNo

Is your property occupied by a tenant?*

YesNo

Name of Tenant 1*

First NameLast Name
Name of Tenant 2 (if applicable)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tenant Phone Number*

Area CodePhone Number
Lease Expiration Date*

MonthDayYear
Date
Permission to announce guests?*

YesNo

Please note:

Transponders can be installed at the ROA office Monday through Friday, 8:30 AM - 3:30 PM. If you will be arriving after 3:30 Monday through Friday, or on the weekend, you must choose a gatehouse to have your transponder installed to prevent further delays.
Please indicate at which gate would you like to have your transponder(s) installed*

Linger LongerReynolds Parkway (Hwy 44)Lake ClubThe LandingGreat WatersROA Office
I acknowledge, as the property owner(s), that the first two transponders are provided at no cost. The fee for additional transponders to my (our) ROA account and the fee is $15 per transponder.*

YesNo
Signature of Applicant(s)*

Clear
Date

MonthDayYear
Date

Please note:

Transponders can be installed at the ROA office Monday through Friday, 8:30 AM - 3:30 PM. If you will be arriving after 3:30 Monday through Friday, or on the weekend, you must choose a gatehouse to have your transponder installed to prevent further delays.
Please indicate at which gate would you like to have your transponder(s) installed*

ROA Office
I acknowledge that all site improvements – including, but not limited to, new construction, exterior modifications, walls, painting, site work, etc. – must go through the ARB approval process. Any corrective measures required due to a failure to obtain ARB approval or failure to follow ARB requirements shall be done at my expense.*

YesNo
I acknowledge that non-compliance with ARB guidelines may affect my future ability to work within Reynolds, including the rightof the ARB to prohibit me from entering and performing any work within Reynolds.*

YesNo
I have read and agree to the regulations within the Reynolds’ Contractor Rules and Regulations manual. I agree to inform all of my employees of the rules and regulations and ensure that the rules are followed by my employees. I have read and agree tofollow the requirements for repairing the road right-of-ways and medians on Reynolds property as set forth in the Policy forTrenching and Ground Disturbance Repairs on Established Road Right-of-Ways. I have read and agree to follow the requirementsfor digging on Reynolds property as set forth in the Underground Disturbance Policies & Procedures. It is also understood that I am responsible for all costs resulting from damages caused by any underground disturbance and/or nonconformity to this policy.*

YesNo
In order to renew or purchase a transponder, applicant must have a valid United States Driver’s License. International Licenses must be accompanied with valid Passport.
Signature*

Clear
Date

MonthDayYear
Date

Vehicle Make*
Vehicle Model*
Vehicle Year*
Vehicle Color*
License Plate Number*
License Plate State*
Please note:

Transponders can be installed at the ROA office Monday through Friday, 8:30 AM - 3:30 PM. If you will be arriving after 3:30 Monday through Friday, or on the weekend, you must choose a gatehouse to have your transponder installed to prevent further delays.
Please indicate at which gate would you like to have your transponder(s) installed*

Linger LongerReynolds Parkway (HWY 44)Lake ClubThe LandingGreat WatersROA Office
Signature of Applicant*

Clear
Should be Empty: