MIDDLESEX BEACH ASSOCIATION

Password Info Request Form

Up to 2 eMail addresses can be stored per property. If you wish, when OFFICIAL MBA information is posted on this website, we'll send you an eMail. Your eMail address will not be revealed to others receiving this information. The response to your message is NOT automatically generated, so don't expect an immediate response. However, you should receive a response within 24 hours once your information has been verified. Note that for unknown reasons AOL frequently decides not to deliver my messages. If you provide an AOL address and don't receive a timely response, either send a second message so I can call you, or call 302-249-1895.

(these 3 lines are required to use this form) Full Name (as you wish it to appear in print in the Annual Directory) eMail address Middlesex Address Check if you do NOT want the above eMail address to be printed in the Directory Check if you do NOT want to receive monthly eMails about website updates. secondary eMail address (monthly eMails only-NEVER published) Only fill in the information below if the directory is inaccurate

Permanent Address Address Line 2 City State Zip Code

Beach Phone Home Phone Work Phone (work extension)

Comments? (please list previous owner if you're new)

Page and all photography thereon by David A. Wiecking
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