Phone & Vehicle Registration From

Long Meadow Landings Phone & Vehicle Registration Form



Apartment #: *
  
Resident #1 Contact Information
Name: *
  
Home Phone:  
  
Work Phone:  
  
Cell Phone:  
  
E-Mail Address:  
  
Resident #2 Contact Information (If Applicable)
Name:  
  
Home Phone:  
  
Work Phone:  
  
Cell Phone:  
  
E-Mail Address:  
  
Other Occupants (If Applicable)
Other Occupant's Names:  
  
Vehicle #1
License Plate:  
  
State:  
  
Make:  
  
Model:  
  
Year:  
  
Color:  
  
Vehicle #2
License Plate:  
  
State:  
  
Make:  
  
Model:  
  
Year:  
  
Color:  
  
 
  * indicates required information

First Name: (you must leave this field blank)
Last Name: (you must leave this field blank)
  
41 South Road
Groton, CT 06340
Tel: 860-910-4431
LongMeadow@landingsgroup.com