Cordoba Ranch Community Development District
Windshield Sticker Order Form

Date 	

Owner/Resident Name 	

Property address 	

City 	State 	Zip 	

Phone number 	Email address 	

Vehicle make and model for each Windshield Sticker requested:

Windshield sticker numbers that should be deactivated:

Address where the Windshield Stickers are to be mailed to (if different from property address):

Please send or deliver this completed form along with proof of residency and a check or money order payable to Cordoba Ranch CDD in the amount of $25.00 for each sticker to:

Cordoba Ranch CDD

3434 Colwell Avenue, Suite 200

Tampa, FL 33614
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For Office Use Only

Barcode Decal issued on:  Date: 	_ Fee Collected $ 	_ Check #  	
Replacement or Additional?	Number 	Model  	

Barcode Decal issued on:  Date: 	_ Fee Collected $ 	_ Check #  	
Replacement or Additional?	Number 	Model  	

Barcode Decal issued on:  Date: 	_ Fee Collected $ 	_ Check #  	
Replacement or Additional?	Number 	Model