Membership Application
Before completing this form, you can get Date of HOA Incorporation, File Number, and Last Update from the Secretary of State web site.
Use the "TAB" key to move between the fields. Do NOT use the "ENTER" key. Left mouse click on the . box to select one of the menu choices provided.
Some fields are required information (designated by "Req'd" at end of field).
All data fields are checked for appropriate types of data (alpha, numeric, and/or special characters) and for the correct length of the data.
Association Name: Req'd
Association Address:
Association Web Site URL:
Email Address for Association Newsletter Editor: Req'd
Newsletter Editor's Name: Req'd
Newsletter Editor's Phone: Req'd
Number of Homes: Req'd E-Mail Distribution List: . Do Not Know No Yes
President: (HOA) or Primary CenCON Representative (CenCON Assoc)
Name: Req'd
Street: Req'd
Zip Code: Req'd
Phone: Home: Req'd
Work:
Email : Req'd
CenCON Representative (HOA) or Secondary CenCON Representative (CenCON Assoc)
Email: Req'd
Alternate CenCON Representative (HOA and CenCON Assoc)
Name:
Street:
Zip Code:
Phone: Home:
Email:
Management Company Name:
Address/Zip Code:
Contact Name:
Phone:
Geographical Boundaries (Street Names):
North:
East:
South:
West:
Name to use on City Contact List . HOA President Management Company Req'd
Located in City of Centennial, Ward: . Do Not Know 1 2 3 4
Amount of Annual Dues: Dues is: . No Dues Mandatory Optional
Number of Persons on Board:
Month of Board Election: . None January February March April May June July August September October November December
Frequency of Meetings: . None Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Semi-Annual Annual Other
Average Attendance: . None 0 - 5 5 - 10 10 - 20 20 -50 50-100 > 100
Location of Meetings:
Newsletter Publication Frequency: . No Newsletter Weekly Bi-Weekly Monthly Bi-Monthly Quarterly Semi-Annual Annual Other
Number of Newsletters Distributed:
Method: . No Newsletter E-Mail U.S. Mail Door Delivery Distribution at Meeting E-Mail & Door Delivery E-Mail & U.S. Mail News-Stand Pickup Other
The next 3 items can be found at the Secretary of State web site.
Date of Incorporation:
File Number:
Date Last Registered with Secretary of State:
Name of person completing this form: Req'd
WARNING: If you have errors in the data, you will get a "Form Validation Error" page listing the errors. At the bottom of this page is a link, "Return to the form". Do not use this link, as it will erase all the data entered on the form. Instead, use the BACK button of your browser to return to the form. Your data will be saved & you only need to correct the errors.
If after clicking SUBMIT, you receive an error message about "Invalid Domain", your Fire Wall software is causing a problem
Page last updated on: 03/28/2009
