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Coupon Request Form
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Lake Ridge Property Address
(If different from Property Address)
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Reason for Request
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Did not receive coupon book in mail
Lost/misplaced coupon book
Upon submission of request, a new set of payment coupons will be mailed to you from LRPRA. We will contact you if further information is needed.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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