Thank you for your submission!
Your application form has been received. To secure your spot on the waitlist, please mail your check using the details below:
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Make check payable to: Places to Age
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Amount due: $100
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Memo line: Include your Full Name and "Waitlist Deposit" in the memo section
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Mailing Address: Places to Age PO Box 502 Salida, CO 81201
You will receive an email confirmation once your payment is received and deposited.
Your waitlist application will remain pending and will not be fully processed or fulfilled until your physical check has been received and cleared by our bank.
Places to Age complies with the Federal Fair Housing Act and Colorado Fair Housing laws. We do not discriminate on the basis of race, color, religion, national origin, sex, disability, familial status, or sexual orientation. Information collected on this form is used solely for waitlist administration and will not be shared or sold.