Knights Hill Association Inc.

                                                P.O. Box 274

                                         Bridgton, Me. 04009

                                       Phone/Fax No.  207 647 5107

                                       Cell Phone 207 632 1991

                             E- Mail Address: khainc@roadrunner.com

                             Web Site: http://knightshill.net

General Information Form.                                             Office Copy:     

          Name:                                              Kha Lot No:

          Address:                                           Bridgton Address:

          Town/City:

          State:                                                 Zip Code:

Day Phone:                                                 Bridgton: Phone No.

Evening Phone:

Work Phone:

Emergency Phone:

E-Mail Address:

Spouse:

Address:

Town/City

State:                                                          Zip Code:

Day Phone:

Evening Phone:

Work Phone:

Emergency Phone:

E-Mail Address: