SNOW MOUNTAIN FARMS

CLUB HOUSE SPECIAL USE REQUEST FORM

Property Owner_________________________________________________________________________
Address / Lot #________________________________________________________________________
                                           _______________________________________________________________________________________

 

Requested Date _________________________

Requested Time _________________________

Purpose________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Number in Party  _________________________

VT Phone #_________________________

Other Phone #_________________________
 

APPROVAL_____________________________DATE_____________________
 

Property owner responsible for visitors actions, pool safety and cleanup including trash/decoration removal.
 

Mail to:
Snow Mountain Farms Improvement Association, Inc.

 
Wallace Properties, Inc
  PO Box 1150
  West Dover, VT 05356
  Office: 802-464-5749
  Fax: 802-464-3609