Assisted Living
Life Lease

Luther Village On The Park - Contact form

Assisted Living
Life Lease

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Luther Village on the Park Application Form

To indicate your interest in an Assisted Living Centre unit, please complete this online form and mail a refundable $250.00 deposit. The order in which these forms are received will be the order in which interested people will be given the opportunity to choose their particular unit.

information

Please complete this online form and mail a $250.00 deposit cheque payable to Luther Village.
(Please note: this deposit is fully refundable should you decide not to buy).

Name*

Street Address*

City*

Province*

Postal Code*

Phone Number*

E-mail Address*

Age(s)

Congregation

I/We are interested in:

Life Lease Townhome Life Lease Apartment 2 bedroom 1 Bedroom 3 bedroom 2 Bedroom 1200 - 1800 sq ft 700 - 1000 sq ft 1800 - 2200 sq ft 1000 - 1400 sq ft 1400 - 1600 sq ft

Would you like to be on our mailing list?*

Services required:

Please complete this online form and mail a $250.00 deposit cheque payable to Luther Village.

Luther Village on the Park
139 Father David Bauer Drive
Waterloo, Ontario
N2L 6L1
Phone: 519-747-4413

Luther Village on the Park is managed by