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					VACATION NOTICE DATE OF REQUEST _____________________________________ DATE OF DEPARTURE ___________________________________ DATE OF RETURN _______________________________________ NAME __________________________________________________ ADDRESS _______________________________________________ _______________________________________________ HOME PHONE ___________________________________________ ALARM – YES NO DESTINATION ADDRESS ________________________________________________________ PHONE # __________________________________________ PERSONS ALLOWED ON PROPERTY ____________________________________ EMERGENCY CONTACT PERSON NAME _____________________________________________ ADDRESS __________________________________________ __________________________________________ PHONE # ___________________________________________ VEHICLES LEFT AT RESIDENCE _______________________________________ COMMENTS OR NOTES ____________________________________ ___________________________________________________________ ___________________________________________________________ SEND TO chief@westpikeland.com or fax to 610-827-1738 HAVE A NICE VACATION! LIGHTS ON TIMER – YES NO


				
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