ÿþ<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"> <head> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /> <title>Emergency Info Form</title> <style type="text/css"> p{ font-family: times new roman; color: black ; font-size: 1.2em; margin-left: 2%; margin-right: 2%; line-height: 100%; } ul{ font-family: times new roman; color: black ; font-size: 1.2em; font-weight: bold; margin-left: 3%; margin-right: 2%; padding: 0; line-height: 135% } li{ list-style-type: none; text-decoration: none; } </style> </head> <body> <div> <p style="text-align: center; font-size: 1.5em;"><i><b>Riviera Golf Estates Homeowners Association, Inc</b></i></p> <p style="text-align: center; font-size: 1em;"><i><b>425 Charlemagne Blvd., Naples, FL 34112</b></i></p> <p style="text-align: center; font-size: 1em;"><i><b>Tel 239-775-3573 Fax 239-775-4643 E-mail rivierage@naples.net</b></i></p> <p style="text-align: center; font-size: 1.25em;"><u><b>EMERGENCY INFORMATION</b></u></p> <p style="text-align: left; font-size: 1em;">In order to help us update the office files, please answer the questions below. Add any other information you feel is important. Return the form to the office as soon as possible.</p> <p style="text-align: left; font-size: 1.2em;"><b><u><i>Seasonal residents: update each year before you leave Riviera</i></u></b></p> <p style="text-align: left; font-size: 1.2em;"><b><u><i>Year round residents: update when there is a change.</i></u></b></p> <p style="text-align: left; font-size: 1.2em;"><b><u>LOCAL INFORMATION</u></b> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Date__________________</p> <ul> <li>1.&nbsp;&nbsp;Name___________________________________________________________________</li> <li>2.&nbsp;&nbsp;Address____________________________________3.&nbsp;&nbsp;Telephone________________</li> <li>4.&nbsp;&nbsp;Lot number____________4a.&nbsp;&nbsp;Email Address____________________________</li> <li>5.&nbsp;&nbsp;Is home leased? If so, by whom and the months it will be occupied.</li> <li>__________________________________________________________________________</li> <li>6.&nbsp;&nbsp;Your lawn maintenance company_______________________Telephone_____________</li> <li>7.&nbsp;&nbsp;&nbsp;In an emergency who has key to your home? <u>List a person who is a "local" resident and will be here while you are away.</u></li> <li>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Name________________________________Telephone_____________________</li> <li>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Can we call this person to replace your outside light bulb?___________</li> <li>8.&nbsp;&nbsp;Additional Emergency Contact:(relative, friend, etc.)</li> <li>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Name____________________________________Telephone__________________</li> </ul> <p style="text-align: left; font-size: 1.2em;"><b><u>WHEN YOU ARE NOT IN RESIDENCE AT RIVIERA</u></b> <ul> <li>1.&nbsp;&nbsp;Forwarding address_________________________________________________</li> <li>2.&nbsp;&nbsp;Telephone number__________________________Dates___________________</li> </ul> <p style="text-align: left; font-size: 1em;"><b>Please notify the office if you plan to leave Naples area for any length of time and when you plan to return. If you have any questions please call 775-3573.</p> <p style="text-align: center; font-size: .8em;">An Over "55" Covenant Restricted Community</p> </div> </body> </html>