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Williston House Assisted Living
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  Pledge Form

To be part of the Cove Donor Family please fill out the form below.

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Your Name:
Mailing Address:
Postal Code:
Daytime Phone:
Evening Phone:
Please accept my one-time gift of:
Or: $ per year for 3 years


Please Explain:

Charitable Registration Number: 11887 0880 RR 0002

Thank you for your support!

  The Cove Guest HomeWilliston House Assisted Living

The Cove Guest Home is Re-defining the way seniors live!