The Escape Property Owners Association
PO Box 282
Greentown Pa 18426
570-957-9090
570-857-0490 Fax
Property Owner Information Sheet
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LOT#_____________ NAME_______________________________________________________
MAILING ADDRESS
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STREET ADDRESS
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TELEPHONE#_______________________________ CELL PHONE______________________________
WORK#____________________________________
EMERGENCY INFORMATION
CONTACT PERSON__________________________________
PHONE_______________________ CELL PHONE_________________
PLEASE SPECIFY ANY MEDICAL CONDITIONS
ALL LANDLORDS MUST REGISTER EACH RENTER.
DATE___________________________