Gate Controller Order Form

Please fill out this form. Print it out and mail it with your check made out to the Rancho Heights Road & Management Committee to:

Rancho Heights Road & Management Committee

38895 Magee Heights Way

Pala, CA 92059

Property Owner Name (as it should appear in the keypad directory):

Property Owner Name (if different from above):

Property Address or Parcel Number:

Mailing Address (if different from above):

Phone Number (as it should appear in the key pad directory):

Daytime Phone Number (if different from above):

Quantity of controllers ordered:

at $30 each.

Total enclosed:

Note: Please order only the number of controllers needed for residents' use. Controllers should not be given to non-residents.

Controllers will be mailed when payment has been received in full.

E-Mail Address:

Print out this form and mail it with your check made out to the Rancho Heights Road & Management Committee to:

Rancho Heights Road & Management Committee

38895 Magee Heights Way

Pala, CA 92059