Name of Community *

Street Address

City

StateAL - AlabamaAK - AlaskaAZ - ArizonaAR - ArkansasCA - CaliforniaCO - ColoradoCT - ConnecticutDE - DelawareDC - Dist of ColumbiaFL - FloridaGA - GeorgiaHI - HawaiiID - IdahoIL - IllinoisIN - IndianaIA - IowaKS - KansasKY - KentuckyLA - LouisianaME - MaineMD - MarylandMA - MassachusettsMI - MichiganMN - MinnesotaMS - MississippiMO - MissouriMT - MontanaNE - NebraskaNV - NevadaNH - New HampshireNJ - New JerseyNM - New MexicoNY - New YorkNC - North CarolinaND - North DakotaOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVT - VermontVA - VirginiaWA - WashingtonWV - West VirginiaWI - WisconsinWY - Wyoming

Zip code *

Web Site

Type of Community *Single FamilyTownhomeCondominiumCondo/HotelConversionMixed UseCommercial

Current number of Units

Estimated Final Number of Units

Date of Build-Out[datefield datefield-344]

Price Range of Homes or Lots $ * - $

Target or Current Assessments *

Frequency of Assessments Annual Quarterly Monthly

Annual Association Budget *

Community Amenities Yes No

 Pool - Number of123456789

 Clubhouse - Number of123456789

 Park - Number of123456789

 Playground - Number of123456789

 Lake - Number of123456789

 Golf Course - Number of123456789

 Tennis Court - Number of123456789

 Gate House - Number of123456789

 Brick Paving - Number of123456789

 On-Site Staff - Number of123456789

 Other - Other

Is the Community gated? Yes No

Are you currently under contract with another management company? Yes No

If yes, please provide the name of your current management Company.

Additional Questions or Comments:

Please provide us with your contact information.

First Name *

Last Name *

Position on Board *

Address

Phone *

E-Mail *

Proposed Due Date[datefield datefield-744]

How did you learn about AMI? * Web Site Mailer Referred by

If referred by, who?

Please verify you are human