RiverView RV Resort Owners' Association, Inc.

2000 E. Ramar Rd. Bullhead City, AZ 86442

REGISTRATION & AUTHORIZATION FORM

Riverview RV Resort is qualifed as an age 55 or older development under the Fair Housing Amends Act of 1988. One resident in each household SHALL have passed their 55th birthday at the time of occupancy. ALL residents of the Resort SHALL have passed their 35th birthday. You SHALL be asked to show proof of age. All residents must abide by the Rules & Regnlations as stated in the Resort documents.

Lot No______________Owners Name______________________ Representative Name_________________

As Owner or Owner's Representative of the above mentioned Lot, this agreement authorizes the following person(s) to occupy said Lot from____________to____________.

______________________________________                    Date:___________Phone #________________

(Owners Signature or Owners Representative)

Late Fee $20.00__________________How Paid_________________

(Less than 72 honrs notice)

Name___________________                                    Birth Date (Required)_______________

Name___________________                                    Birth Date________________________

Home Address___________________________________________Attach copy of Drivers License

                                                                                                for proof of age. 

Home Phone_____________________

Telephone: In Resort_________________

EMERGENCY CONTACT:

Name_____________________________Relationship_____________________________

Address__________________________________________________________________

Home Phone:

----------------------------------------------------------------------------------------------------------------------------------------------------------

Type of Property: Circle One

Park Model

Vacant Lot

RV Type, if Lot Only: Circle One

Motor Home

Fifth Wheel

Trailer

Make_________________Length___________________Year______________________License #

Passenger Vehicle Registration:   Backflow preventer required on all RV types per the County Health                                                            Department (may be purchased at the office)

Vehicle 1

______________/_______________/___________/______________/_________/___________________

Make                    Model                  License  #          Color              Year               Proof of Reg.

Vehicle 2

______________/_______________/___________/______________/_________/___________________

Make                    Model                  License  #          Color              Year               Proof of Reg.

Please bring your vehicle registration. It is needed to issue the vehicle pass by the office. No RVs OVER 10 YEARS OLD without Inspection. No RVs OVER 15 Years allowed into Resort unless it is a returning RV and passes INSPECl'ION

Pet Information [One (1) under 25#s allowed]

We have a pet. Circle One.

Cat (_____Ibs)       Dog (________lbs)     Other (__________lbs)

Description of Pet______________________________________Rabies Tag #__________________

I do not have any pets. ____________(Initials)

I/We have received and read: Copy of Rules & Regulations___________Copy of Gate Policy_________