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WINTERIZING 2022 - SEASONAL

Please note that mandatory fields are indicated by a *

Customer Name* Lot Number *

Email *

Fridge with Ice Maker or running water (will not be winterized, but we need to know) *

Onboard Water Filter? *

Onboard Water Filter Location (if you answered yes to the above) Have access to water filter open

Please add any other requests or comments.

Agreement / Consent

I understand that by submitting this form, I am ordering winterizing for my unit. I understand that this form is due by October 10th 2020 to guarantee the $84.95+ HST price. Forms received after this date will be charged $104.95+ HST. I acknowledge that winterizing week will begin on October 17th. I understand that if my unit has a fridge with water running in it, it is my responsibility to winterize this to prevent damage.

Date Signed

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Timestamp

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September 14, 2022 9:00 am EST

WINTERIZING 2022 - SEASONAL Uploaded by Heidi Pothier on behalf of Hillside Lake Park Recreation Inc. - heidi@hillsidelakepark.com IP 184.144.112.114

September 14, 2022 9:01 am EST