REGISTRATION RENTERS – WBHA

RENTERS

Name

First

Last

Address Number

Address Street Name

Email

Phone Number

How did you hear about the website?

RESIDENTS Name in

What year did you move in?

What is your preferred method of conact?

I would like to have my information published in the community directory for RESIDENTS ONLY!

Publish Phone Number
Publish Email Address
I DO NOT WANT TO HAVE MY INFORMATION PUBLISHED!!!

I UNDERSTAND

By choosing to opt in, you grant permission to West Bloomfield Hills Subdivision Improvement Association for the use of electronic communication. I acknowledge that my information will remain confidential and will be utilized solely for the purpose of community communication.

West Bloomfield, MI. 48322
P 248.910.4475
E info@wbhassociation.com

We are located east of Orchard Lake Road and north of Maple Road

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