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First Name
*
Last Name
*
Email Address
*
Phone Number
*
To be eligible to be considered for an Encore Apartment, you need to meet all entry criteria. Please tick the appropriate boxes below.
I am 65 years or over
*
I am retired from full time work
*
If you do not meet the above criteria please register your interest
here
and someone will get back to you.
Preferred Day 1
Monday
Tuesday
Wednesday
Thursday
Friday
Preferred Time 1
1:00-1:15PM
1:15-1:30PM
1:30-1:45PM
1:45-2:00PM
2:00-2:15PM
2:15-2:30PM
2:30-2:45PM
2:45-3:00PM
Preferred Day 2
Monday
Tuesday
Wednesday
Thursday
Friday
Preferred Time 2
1:00-1:15PM
1:15-1:30PM
1:30-1:45PM
1:45-2:00PM
2:00-2:15PM
2:15-2:30PM
2:30-2:45PM
2:45-3:00PM
I am available any time
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