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Instructions for completing the form:

 Input the email address for which a response to your message is desired. Please ensure the accuracy of the email address you provide as this is the email address we will respond to.
Input a subject; If you are inquiring about one of our services input the service you are inquiring about into the subject line. i.e. "request for information about the Assisted Life Program".
Type a message.  Leave as many details as possible including the best time to reach you to discuss your inquiry or set up a time for a consultation. If you are able, describe where you first heard about our company or who referred you. 
Input any questions which you would like answered as well. If possible, include a link to your website (if applicable) or a contact number you can be reached at if you prefer to be reached by phone.
Send Mail requests to:
Assisted Life Solutions LLC
308 W. First Ave
Suite # 205
Spokane, WA 99201
Or call us at +1 (509) 842-2290

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