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Pocono Highland Estates

WIFI ACCESS REQUEST FORM

First Name

Last Name

Email

Phone

Property Address

REQUESTER IS PROPERTY: * Required

OWNER

RENTER

If Renter is Requesting Access, Please Enter Owner Name Here:

Reason For Request:

I understand The PHCA Wi-Fi is available daily from 6am-7pm around the clubhouse. Internet browsing restrictions apply. Requester will be held responsible for any illegal usage.

Thanks for submitting! The PHCA Wi-Fi is available daily from 6am-7pm around the clubhouse. Internet browsing restrictions apply. Requester will be held responsible for any illegal usage.

© Pocono Highland Community Association Inc. 2017

phca348@ptd.net

Tel: (570) 619-7001

123 Sunlight Dr.
Henryville, PA 18332

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