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ASSOCIATION INFORMATION

Name Of Your Association:  
Enter the name of your Association.
(Required)
Address 1:  
Enter the Address of your Association.
(Required)
Address 2:  
(Optional)
City:  
Enter your Association City
(Required)
State:  

Zip:  
Enter the Zip Code of your Association
(Required)
Type Of Association:  
Select the type of Association from the drop-down list. (If your Association type isn't listed, select OTHER.)
Other Association Type:  
If you selected OTHER fron the list above, please enter the type of Association here.
(Optional)
Number Of Units In Your Association:  
Enter the number of units/homes in your Association.
(Optional)
Association Domain Name:  
If your Association already has a Domain Name, please enter it here.
(Optional)
ConnexUS Web Site Plan:  
Basic  
Standard  
Premium  
Select the Web Site Plan you want to license.
Setup Fee Payment Method:  
Check  
Credit Card  
Select the method of payment of the Setup Fee
How Did You Find Us?:  
Select how you located us from the drop-down list. (Please provide details in Comments below where applicable.)
(Optional)
Comments:  
(Optional)
ASSOCIATION CONTACT INFORMATION

Association Contact Name:  
Enter a Contact Name.
(Required)
Contact Title:  
(Optional)
Contact Phone:  
Enter a Contact Phone Number
(Required)
Contact E-Mail:  
Enter a Contact E-Mail Address
(Required)
MANAGEMENT COMPANY INFORMATION
(If Applicable)

Management Company Name:  
Enter the name of your Management Company.
(If applicable)
Management Company Address 1:  
(If applicable)
Management Company Address 2:  
(If applicable)
Management Company City:  
(If applicable)
Management Company State:  
(If applicable)
Management Company Zip:  
(If applicable)
Management Contact Name:  
(If applicable)
Management Contact Title:  
(If applicable)
Management Contact Phone:  
(If applicable)
Management Contact E-Mail:  
(If applicable)

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