• I would be interested for:

• Have you ever visited a retirement community before?

• Were you aware of The Remington at Valley Ranch before you came to this web site? 

• If Yes, how did you hear about The Remington?

• Indicate Apartment Size prospective resident would be interested in?

• Where does the prospective resident reside?

• If prospective resident is a parent or parents, how far do they currently live from you now?

• What is the general health of the prospective resident?

• Does the prospective resident drive?

• How soon would the prospective resident need to move?

• The prospective resident’s household income is: 

• What is more important to the prospective resident?

Putting Green

Church Activities

Cultural-Museums

Swimming Pool

Fitness Activities

Social/Parties-Entertainment

• As the children of the perspective resident, my total household income is:

• What is more important to me, as the child of the prospective resident?

Name:

Address :

City :

State :

Zip :

Daytime Phone :

Evening Phone :

E-mail :