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Please print the documents listed and fill them out accordingly.

When completed, mail them to Victoria Community Coalition, Inc., D.B.A. St. John's Place at the address below.  If you have questions or need help filling out the forms, please contact Marilyn or Brenda.

Victoria Community Coalition, Inc.
D.B.A. St. John's Place
701 7th Street - Suite A
Victoria, KS 67671

Contact for help in filling out the forms:
CALL:  785-735-2204  or
Marilyn Braun 785-735-4968
Brenda Dreiling 785-735-4141

1.  Initial Inquiry Form

2.  Reservation/Security Agreement

3.  Application for Housing

4.  Unit Rental Rates

5.  Rental Contract/Lease

6.  House Rules/Housekeeping Standards

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