Please print this page and fill in the form below, sign it and fax it to The Village Quarter: (812) 877-2506
If you can read this text on the printed version, do not FAX
Only the form will print on this page. If you see the title graphic above on the printed version, your browser does not support media dependent Cascading Style Sheets. You will need to print the PDF version instead. To test whether your browser is capable or not, you can print this page. If you can't see any text that says, "do not fax" on the printed version, and you can't see the site navigation graphics at the top, you're probably OK to print the application and FAX it.
If you know your browser does support media dependant Cascading Style Sheets can fill the application out online. NOTE: A signature is required, so you cannot submit the application online, but you can fill it all out and print it with your information neatly typed.
If you have any questions about what type of information to include on the application, please don't hesitate to call us: (812) 877-1795 |