Dues Form 2019

Property Mgr Address

Owner's Mailing Address

Please enter the email address(es) that we should use to communicate with you. If you do not have an email address, please enter the email of a friend, neighbor, family member, etc. who can pass along HOA communications to you.
Primary Email *

Confirmation Email
Add'l Email

Confirmation Email
Primary Phone *
Add'l Phone

Renter

Prefix First Name Last Name
Renter's Email

Confirmation Email
Renter's Phone
The occupant's contact information will be made available in an online directory on our website in a password-protected area. Please check the box below if you DO NOT want this information included.
Opt-Out

DO NOT Include Contact Information in Directory

The 2019 Annual General Membership Meeting will be held on Tuesday, February 12, 2019 at 7pm at the McLean Community Center, 1234 Ingleside Road, McLean, VA 22101

We will be electing three directors. The candidates are:
- Melanie Bielski
- Bonnie Myshrall
- Joanne Robinson
If you (the owner) cannot attend the annual meeting, we need your PROXY to conduct our business.
PROXY

I (or we) appoint the following Langley Oaks Homeowners Association board member as my proxy to attend the annual meeting on my (or our) behalf for the purpose of establishing the presence of a quorum and of voting on the election of directors and any other matter properly coming before the meeting:
Check ONE

Adam Anthony Veronique Bishop Jerry Marenburg Telly Meier Bonnie Myshrall Robert Olsen Peter Suskind
Signature (Owner)

Clear
Signature (Co-Owner)

Clear

Payment is due by February 28, 2019.

An interest charge is included for payments not received by March 31, 2019.
Payment Method *

Credit/Debit Card or PayPal Check
After you click the SUBMIT button, you will be redirected to PayPal to make your payment.

If you do not have a PayPal account, please click the gray button on the bottom of the next page. It says "PAY WITH DEBIT OR CREDIT CARD."

After you complete the form, click "PAY NOW." You will receive a receipt via email.
Amount *

2019 Dues (including interest) $ 165.85

Total $ 0.00
After you click SUBMIT, we'll immediately send you an email with payment instructions and a confirmation number to include on your check. Please check your SPAM folder if you don't receive it. The email will be sent to: *
Check Received

- Month - Day Year
Revisions Date

- Month - Day Year
Revisions/Notes
Should be Empty:

2019 Dues Form