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1. I would like to receive information on the following:
	The Cypress of Charlotte, North Carolina
	The Cypress of Hilton Head Island, South Carolina
	The Stewart Health Center on the Campus of Charlotte
	The Preston Health Center on the Campus of Hilton Head
2. What elements of a retirement community are most important to you?
	On-Site Maintenance
	Maid and Linen Service
	Quality Meal Program
	Transportation
	24-Hour Security
	On-Site Nursing Care
	On-Site Assisted Living
	Activities
	Social Events
Optional Questionnnaire
Help us help you. Please complete all that apply so that we may better serve your interests:
1. Marital Status:
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2. Birthday Information:
Your Birthday:
Your Spouse's Birthday:
3. Do you have children in the Charlotte or Hilton Head area?
	Yes, I have children in the Hilton Head area
	Yes, I have children in the Charlotte area
	No, I do not have children in the area
4. Are you interested in the Cypress for yourself or a relative?
	Yourself
	Relative
5. If for a relative, name of relative:

6. How did you hear about The Cypress?:

Hilton Head Island • 800-458-8585 • Contact Us • Hilton Head Island, South Carolina • Charlotte, North Carolina
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