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TWHAENLKCYOOUMFOER YOUR VISIT. NAME: DATE: ADDRESS: CITY: STATE: ZIP CODE: HOME PHONE: CELL PHONE: EMAIL ADDRESS: INQUIRING FOR: SELF FAMILY MEMBER/OTHER THEIR NAME(S): HOW SOON ARE YOU LOOKING INTO MOVING? 0-6 months 6+ months 1+ years 2+ years WHAT LEVEL OF CARE ARE YOU INTERESTED IN? Independent Living Assisted Living Memory Care HOW DID YOU HEAR ABOUT THE CROSSINGS? 205-634-8200 | TheCrossingsAtRiverchase.com | Independent Living | Assisted Living | Memory Care ALF #D5986 | SCALF #P5928