Your Contact Information:

Today's Date:

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*

Your Name:

*

Company Name:

Your Title:

*

Daytime Phone:

^{( ) -}

Fax Number:

^{( ) -}

Evening Phone:

^{( ) -}

*

Email address:

 Community Information:

*

Association Name:

*

Type of Community:

please select one Single Family Townhomes Condominiums High Rise Condo Mixed Use Commercial OTHER

Builder(s):
(if applicable)

Number of Units/Tenants:
  (if applicable)

Number of Floors:
  (if applicable)

Community Address:

*

City:       State:       Zip:

Age of Property:

Common Areas: 
(hold down ctrl for multiple selections)

Common Element Systems: 
   (hold down ctrl for multiple selections)

  Select All That Apply None Pool Lakes Sports Fields Parks Fitness Center Cabana/Clubhouse Playground/Tot Lot Tennis/Sports Courts Water Features Hike/Bike Trail Private Streets Retention Areas Gates Others  

  Select All That Apply None Fire Panels Fire Pumps Boilers Cooling Tower Emergency Generators Energy Management Systems Others

Current Services: 
   (hold down ctrl for multiple selections)

Select All That Apply Front Desk Concierge Valet Others

Other:   (please explain any additional property features)

 Information about Assessments:

Maintenance Fees:

$

Monthly: $

Quarterly:

 $

Semi-Annual: $

Annual:

 $

Delinquencies?

  please select one High Delinquencies Low Delinquencies

 Boards and Committees:

Board Meeting Frequency:

Number of Board Members:

Committees:

 Management Background:

Current Management Company:

Transition Date:

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Does a reserve study exist?

  please select one yes no I do not know

Are reserves funded?

  please select one yes no I do not know

Is legal action pending?

  please select one yes no I do not know

What problems are you experiencing with your current management company?

How did you hear about Premier Communities?

What services are you interested in discussing?

 Please include any additional comments or questions:

Comments: