Homeowners Association Gate Access
Resident/Property Owner:
Address/Lot#:
City/State Zip Code::
Phone #:
Listed on Gate Directory:
Identify caller and press 9 to open visitor's gate
Gate Card Numbers:_____________________________________________________________________________
Additional Short Range Cards, @ $10.00 each
Additional Long Range Tags    @ $15.00 each
Gate Long Range Tag Numbers:____________________________________________________________________
Total Due: (checks only, made out to: HALRI)
Robo Call:
Phone # if different from above:
Email:
Date:___________________________________________________________________________________
I hereby acknowledge that all property located within the Lake Ramsey Development is subject to the Restrictive Covenants/Building Restrictions pertaining to the development phase in which the property is located.
Signature:___________________________________________________________________________________
Directory Number: ________
Cell-Gate Video: 
List Names of Residents and Names of Vehicles:
Questions, Comments or Notes: