CLJGHOA OWNER/OCCUPANT REGISTRATION FORM
1). OWNER INFORMATION		First Name(s):			Last Name:
Condo Address:	__________ Via Mallorca			La Jolla		CA	92037-2569
Mailing Address:	Street			City		State	Country/Zip
Phone Number:			E-mail:
Emergency Contact:			Emergency Contact Tel:
Condo Garage # (A,B,D or E Units):			Menas Account #:

2). OCCUPANT INFORMATION (ALL OCCUPANTS)		Vehicle Information
First Name	Last Name	Make		Model	Color	License #
Condo Unit Tel:			Move-In Date:
Emergency Contact:			Emergency Tel:

3). PET INFORMATION		Breed/Type	Color	Description/Size	Cal.Tag#
Pet#1	Dog c Cat c Other c
Pet#2	Dog c Cat c Other c
Pet#3	Dog c Cat c Other c

I hereby certify that I have provided the occupants with a copy of the CLJGHOA CC&R's, the CLJGHOA Information Booklet and the CLJG Pool/Common Area Keys.
Owner's Signature: __________________________________	Date: _______________
MENAS REALTY COMPANY AGREES TO KEEP THIS INFORMATION CONFIDENTIAL AND TO USE IT ONLY FOR EMERGENCY PURPOSES. Print out this form, fill it out and FAX it to Menas Realty Company at (619) 270-9780 or MAIL it to Menas Realty, 4990 Mission Blvd., San Diego, CA 92109-2099.