For Full LifeCare Membership:   For Hearthside Assisted Living,
Drinkard Healthcare and Memory Support Center
Contact:  
Title: 
Local Phone:
Toll-free:     
Address:   
                  		Vikki Keller
Marketing Assistant
434-386-3518
1-800-962-3520
501 VES Road
Lynchburg, VA 24503		   Contact:
Title: 
Local Phone:
Fax:
Toll-free: 
Address:		 Kim Handy
Health Services Admissions Coordinator
434-386-3402
434-386-3797
1-800-962-3520
501 VES Road
Lynchburg, VA 24503

I'd Like to learn more about Life Refreshed at Westminster Canterbury- Lynchburg:
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This information is for:
Myself
My Parent(s)		 A Friend
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When do you plan to retire?

1 - 6 mo.

18 mo. - 2 yr.
6 - 12 mo. Over 2 yr.
12 - 18 mo.

When would you like to visit Westminster-Canterbury?

In 1 - 6 mo. Over 2 years
In 6 - 12 mo.   We have not yet made our plans
In 12 - 24 mo.

What are your favorite activities?
 (Please check all that apply.)

Swimming
Tennis
Golf
Fishing
Softball
Shuffleboard 
Dancing
Concerts
Walking
Bike Riding		 Dining Out
Plays
Arts/Crafts
Card Games
Movies
Horseshoes
Sporting Events

Things you want in a community:
 (Please check all that apply.)

Clubhouse
Restaurant
Golf Course
Tennis Courts
Lush Landscaping
Friendly People
Activities
Recreational Facilities

Things important to you in a home:
(Please check all that apply.)

2 bedrooms, 2 baths
3 bedrooms, 2 baths
Study
Living Room
Family Room
Great Room
Covered Screen Porch
Eat-in Kitchen
No Maintenance Exterior
Lawn Care
Garage

How did you find out about our web site and community?

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