PS 2022
Information & Guide Request Letter from the Publisher Tell us a bit more about your needs so we may offer the best resources to help you. Please complete only the amount of information you feel comfortable sharing. We will follow up with you by phone or email (whichever you prefer).
name e-mail address:
day phone number:
address:
city, state, zip:
Inquiring for:
self
friend
relative
If other than you, what is the name and age of person needing assistance:
first name:
age:
Desired location for the housing, service(s) or product(s) to be provided:
I would like
extra copies of the guide sent to me.
Puget Sound
Portland/Vancouver
Mid-Willamette Valley
Southern Oregon
✂
When you’ve completed the form, please cut out this page, place in a stamped envelope and mail to: Attn: Help & Information Retirement Connection Guide PO Box 820067 Portland, OR 97282 You may also fax the form to: 503-334-2868 Or you may contact us online at: www.RetirementConnection.com
