A NON-REFUNDABLE $30.00 FEE PER PERSON IS PAYABLE WHEN APPLICATION IS SUBMITTED


Country Village Mobile Home Park Online Application



  • Personal Information



  • Residence History



  • Employment Information


  • Other Information

  • Have You or Your Co-Applicant Ever:




Please download our application form by clicking here.

Mail completed application form (with fee – see below) to:
PO Box 3157 Newport News, Va 23603

I UNDERSTAND MY CREDIT WILL BE CHECKED WITH RETAIL MERCHANTS ASSTN. THIS IS IN ACCORDANCE WITH THE FAIR REPORTING PRACTISE ACT. ALL INFORMATION PROVIDED IS TRUE AND CORRECT.





You will be directed to our PayPal payment page after you fill the application form above, below is the same payment link if you cannot access the PayPal payment link after the form is submitted: