Management Office:  321-799-0660

Your cooperation in completing this form thoroughly and promptly will be greatly appreciated.

Reconcilable Differences, Inc. 109 Long Point Rd. Cape Canaveral, FL  32920

(or fax to:) 321-799-0630 AT LEAST 5 DAYS BEFORE SCHEDULED MOVE IN.

MINIMUM RENTAL PERIOD IS 30 DAYS.

                           Unit Number: ____________________________                     Garage Number:  ____________________________

                                    Name and Phone Number of Owner:  _____________________________________________________________

                                    Realtor Name: ___________________  Company: ___________________  Telephone # ____________________

                                    Name(s) of renter/lessee/guest and Phone Number:__________________________________________________

                                    Number of Occupants:  ________________          Adults:  ________________          Children:  ________________

                                    Length of Stay:    No.  of Months:  _____    Start Date:  _______________    End Date:  _______________________

                                    Emergency Contact Person:  ____________________________________________________________________

                                    Relationship:  ______________________________        Telephone Number: ______________________________

                                    Has owner/rental agent provided a copy of the rules and regulations to the renter/lessee/guests?  Yes: ____  No: ____

                                    Owners/Rental Agents signature:  ____________________________________________________

                                    Does renter/lessee/guest agree to read the rules and regulations and agree to comply with them?  Yes: ____  No: ____

                                     A copy of the Rules and Regulations is in each Unit.  Examples of Rules and Regulations but not limited to:

                                    1:  Florida Law requires that gates to the pool are to be closed and locked at all times.

                                    2:  All the pool rules.

                                    3:  Walkways must be kept clear at all times.

                                    4:  Don’t hang any wet towels or bathing suits over patio or balcony railing or hang them up to dry on the patio or balcony.

                                    5:  Gates to the beach are to be closed and locked at all times.

                                                                 Motor vehicle information to keep car from being towed:

                                    1.  Year:  _______  Make:  ___________  Model:  ___________  Color:  _______  Tag:  ___________  State:    ____

                    2.  Year:  _______  Make:  ___________  Model:  ___________  Color:  _______  Tag:  ___________  State:    ____

                    Canaveral Sands is home to many permanent residents and is not a hotel, motel, or vacation resort.

                     Management, the Board of Directors and residents monitor and uphold the Rules and Regulations of the Association.

                                                                Thank you for your cooperation in filling out this form.

                                      Date completed:  _____________________________________

                        Renter/Lessee/guests signature:  _____________________________________