Member Registration

As a property owner in Coutnac we welcome you to join the CBPOA. Your membership provides you access to the Member’s login area of this website. If you are not a Member in Good Standing your application will be auto-declined. A Member in Good Standing is a Member that has paid the prior year, and current year’s Association dues (by August 1st) for their Coutnac property. If you are unsure whether your dues are paid please contact our Treasurer at: coutnactreasurer@gmail.com.

To become a new CBPOA Member, please fill out this form so you can be validated and receive a link to pay your dues via e-transfer, credit card or PayPal (you do not need a PayPal account to pay by credit card). We encourage you to use the PayPal auto-payment function so your dues are conveniently and automatically paid each year. The CBPOA will waive any associated PayPal fees if you employ the auto-payment option. Thank you.

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Primary Contact *

First

Last

Email *

opportunities? rep Email

Phone Number (for emergencies) *

Secondary Phone Number (for emergencies)

Partner Name (if applicable)

First

Last

Coutnac Address 1 *

Coutnac Address 2 (if applicable)

Permanent Address

Have you paid your yearly membership to your park rep or the treasurer? *

• Yes
• No

Are you interested in the CBPOA reaching out to you for volunteer opportunities? *

• Yes
• No

Comment or Message

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