WP E-Signature by Approve Me - Sign Documents Using WordPress -

SEASONAL CAMPER WINTERIZING - 2023

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

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 9th 2023 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 16th 2023. 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

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

September 11, 2023 11:45 pm EDT

SEASONAL CAMPER WINTERIZING - 2023 Uploaded by Heidi Pothier on behalf of Hillside Lake Park Recreation Inc. - heidi@hillsidelakepark.com IP 184.144.112.114

September 29, 2023 2:36 pm EDT

Hillside Lake Park - abbey@hillsidelakepark.com added by Heidi Pothier on behalf of Hillside Lake Park Recreation Inc. - heidi@hillsidelakepark.com as a CC'd Recipient Ip: 184.144.112.114