Submit a Request

Member Registration

On the form below, list only those household members that are permanent residents and those vehicles that belong to your household. If purchased, pool passes will only be issued to permanent residents.

For each vehicle listed, submit proof that the vehicle belongs to a member of your household. An example would be vehicle registration (temporary or permanent). Decals will only be issued for those vehicles listed on this form and for which satisfactory proof of ownership has been submitted. Proof of ownership may be submitted with this form or shown in person in our office.

Membership Registration

Name

Lot #

Select One

Ownership Date (if new member)

Harbour Address

Mailing Address (if different from above)

Home Phone #

Work Phone #

Cell Phone (Primary):

Cell Phone (Secondary):

Email Address (Primary):

Email Address (Secondary):

Household Resident Information

Indicate the status of each person using these codes: P = Legal owner or lease holder S = Spouse C = Child O = Other

List the name, gender (optional) and status code for every household member.

Use a separate line for each person

Vehicle Information

(List Year, Make, Model, Color, License Plate, State)

Use a separate line for each vehicle

Proof of ownership for each vehicle can be attached below or shown in person at the business office.

Optional Attachments

Maximum File Sizes: 4 MB each

File 1
File 2
File 3