Do you currently have guides in stock at your location? If so, how many?
Your answer
Are you in need of more guides? *
How many guides do you need? For Portland and Puget Sound, 1 box is roughly 30 guides. For Mid-Willamette Valley and Southern Oregon, 1 box is roughly 50 guides.
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Point of Contact Email (this will be used for internal communication with our staff) *
Your answer
Point of Contact Phone *
Your answer
Would you like this phone number to be listed on the interactive map for seniors and their families to contact you with any questions? *
Preferred Method of Communication (with our staff) *
Do you have any other specific pick-up instructions you would like seniors or their families to know for your location?
(i.e. Guides can be found in our lobby, Guides can be found on the 2nd floor at reception desk, etc.)
Your answer
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