Registration for issue of Access Tag/Remote Control

Please select which residence applies: * Please select which residence applies: * Rietvlei Ridge Estate Brookdale Lake Stead Waterfall

Stand/Unit Number:*

Your Pretor Levy Account Number:*

Vehicle 1: Vehicle 1: Owner residing inside Estate Owner Residing Outside Estate Tenant

Name & Surname 1:

Email 1:

Mobile Number 1:

Vehicle Make 1:

Vehicle Model 1:

Vehicle Colour 1:

Vehicle Registration no 1:

ID Number 1:

Click-On Number 1:

Replace old No for vehicle 1: Replace old No for vehicle 1: YES: Replace old No for vehicle 1:

Vehicle 2: Vehicle 2: Owner residing inside Estate Owner Residing Outside Estate Tenant

Name & Surname 2:

Email 2:

Vehicle Colour 2:

Mobile Number 2:

Vehicle Make 2:

Vehicle Model 2:

ID Number 2:

Vehicle Registration No 2:

Click-On Number 2:

Replace old No for vehicle 2: Replace old No for vehicle 2: YES: Replace old No for vehicle 2:

Vehicle 3: Vehicle 3: Owner residing inside Estate Owner Residing Outside Estate Tenant

Name & Surname 3:

Email 3:

Mobile Number 3:

Vehicle Make 3:

ID Number 3:

Vehicle Model 3:

Vehicle Registration No 3:

Vehicle Colour 3:

Click-On Number 3:

Replace old No for vehicle 3: Replace old No for vehicle 3: YES: Replace old No for vehicle 3:

Access System and Procedures - Terms & Conditions:* Access System and Procedures - Terms & Conditions:* I hereby accept the terms and conditions governing the Access System and Procedures at Rietvlei Ridge Country Estate.

Device - Terms & Conditions:* Device - Terms & Conditions:* I accept that the access device issued to me is not transferable and use of the device by any other party is strictly prohibited.

Acknowledge by ticking inside the checkbox your permission to allow Rietvlei Ridge HOA to update your contact details:* Acknowledge by ticking inside the checkbox your permission to allow Rietvlei Ridge HOA to update your contact details:* To comply with the Protection of Personal Information (POPI) Act, I hereby give Rietvlei Ridge HOA permission to update my details, and/or spouse/partner, and/or dependant, and/or tenant details to issue access tags to the estate.

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