Calmes Neck Property Owners Association

Order Form for Gate Access Cards and Remotes

Name
Lot

Mailing address

Access cards

Number __

(Do not count first 2 cards, already shipped)

x $4.50 = ______

Remotes

Number __

x $25.00 = ______

[ ] I will pick up from Charles Vandervoort
[ ] Please mail ($5 handling fee)

$5 if shipped ______

Total enclosed

Mail with your check to

CNPOA Treasurer

3579 Calmes Neck Lane

Boyce, VA 22620

Access cards	Number __ (Do not count first 2 cards, already shipped)	x $4.50 = ______
Remotes	Number __	x $25.00 = ______
[ ] I will pick up from Charles Vandervoort	[ ] Please mail ($5 handling fee)	$5 if shipped ______
	Total enclosed