Emergency Contacts for Residents

MDTOWN PLAZA

HOUSING COMPANY, INC.





•
319 EAST 24th STREET . NEW YORK, N.Y. 10010
TEL (212) 679-4342 FAX (212) 689-7635


Dear Cooperator:

In emergency situation that involves your apartment, it is most important that Management be able to locate you quickly as possible.

In case of sudden illness or an accident, the Management may need to notify your family or friends.

Kindly help us to keep your file up to date by completing the following form and returning it to the Management Office.

Thank you for your assistance.
Sincerely, Geri Roberson

EMail:


Building_
Apartment_
Home Phone





OCCUPANTS OF APARTMENT
BUS NESS PHONE





IN CASE OF EMERGENCY, NOTIFY:

1.NAME

2.NAME






ADDRESS
ADDRESS





RELATIONSHIP
RELATIONSHIP





HOME PHONE#
HOME PHONE#





BUSINESS PHONE #
BUSINESS PHONE #