Skip to content
Timberline at North Park | Seniors Housing Port Alberni BC
Seniors Living in Port Alberni, BC
Reserve your suite
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 2
Contact Information
Email
*
First and Last Name of Occupant?
*
First and Last Name of Second Occupant? (if applicable)
If you have a second occupant:
I understand there is a $700/month second occupant fee
Phone Number
*
Current Address
*
Next
Additional Information
Preferred move-in month?
*
Which suite are you interested in? (Please provide suite and floor number)
*
I require a parking stall
*
Select
Yes
No
Do you use a wheelchair or scooter?
*
Select
Yes
No
I have a small pet
*
Select
Yes
No
If yes, add a small description of your pet
Additional questions/comments
Would you like to sign up for our mailing list?
Yes, sign me up!
Submit