1255 Lake Ave.

                                                             Lake Luzerne, NY 12846

CHECKS SHOULD BE MADE OUT TO MAGLIATO REALTY, LLC AND MAILED TO:
  MAGLIATO, 15 DELLER RD., HIGHLAND, NY 12528

PAYMENT OPTIONS

            Name________________________________

Address______________________________

            ________________________________

Phone________________________________

Email ________________________________

            Site Number __________________________

OPTION A- Pay in full

You may choose to pay your full balance at this time of $2000.00 that holds your site for one year.       

Signature____________________________

OPTIONS B-  Pay monthly

You may choose to pay in twelve installments of $187.50 each. These payments are due on the 1^st of the month and reflect an installment fee.

Signature____________________________

Payments received after the 7^th of the month will be subject to a $10 surcharge.

At any time you may switch from monthly to yearly payments. 

NOTES

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