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PARCR Community Registration

2024-2025 Applicaton for Membership

Name of Retirement Community

CommunityAddress

Community Phone

Website

Council or Association President

Pres First name

Pres Last name

Pres Address

Pres Email

Pres Phone

Term of Office

Laison Information

No1 First name

No1 Last name

No1 Address

No1 Phone

No1 Email

No2 First name

No2 Last name

No2 Address

No2 Phone

No2 Email

Number of Residents

Number of Independent Living Residents

Number of Skilled Care Residents

Number of Assisted Living Residents

Number of Memory Care Residents

Title

Authorization

Submitted By

Date Submitted

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Write Us

PARCR

admin@parcr.org

325 Wesley Drive
Mechanicsburg, PA 17055

© 2024 by Pennsylvania Alliance of Retirement Community Residents

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Membership Information

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