AMENDED AT A REGULAR BOARD MEETING 11/16/88
EXHIBIT "A"
Pet Registration at The Colonies Condominium, McLean, VA
PET: DOG CAT (Circle One)
Sex: ____________________ Breed: _____________________________
General Description: ____________________________________________
Pet Name: _____________________________
Weight (Only 30 lb. maximum at maturity is permissible) _______
Annual Fees: Cat - $10.00
Dog - $25.00 (1 - 10 lbs.) $35.00 (over 10 lbs.)
Fairfax Reg. No./Expiration Date: ____________________/_________________
Rabies Vac. Cert. No./Expiration Date: ____________________/_________________
________________________________________________________________________
Pet Owner's Name: ____________________________________________
Building and Apartment No. _______-____________
Home Phone: (_______)_______ -__________ Work Phone (_______)_______-__________
By registration of my pet, I acknowledge the pet policies set forth in The Colonies Condominium Policy Resolution No. I-B-8, and certify the the weight of my pet is not in excess of 30 pounds and will not exceed that weight.
____________________________________ _______________________
Signature Date
Attest:
____________________________ ______________________________
Secretary President