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Interested in applying for residence at St. James Kiwanis Village?

Please fill out the form below and click submit to create the printable application form.

Which project are you applying for? (If desired, check more than one)	Courts West Courts East Lodge Manor Villa Terrace
What size of unit are you applying for?	One Bed Two Bed Three Bed
Name:
Address:
City:
Province:
Postal Code:
Phone Number:
How many people will occupy your unit?	One Two
Will you require parking?	Yes No
Are you prepared to move as soon as a unit becomes available?	Yes No
If no, how many months would you need?
	Application Fee Information: $250 required for the Lodge (Please make cheque payable to: St. James Kiwanis) $350 required for the Manor and Villa (Please make cheque payable to: St. James Kiwanis) $450 required for the Courts East (Please make cheque payable to: St. James Kiwanis) $700 required for the Courts West (Please make cheque payable to: St. James Kiwanis) $800 required for the Terrace (Please make cheque payable to: St. James Terrace) I acknowledge that I am over 55 years of age and all above information is correct. I will include a deposit with my application.