• Image-26
  • 431 College Road Support Form

    Thank you for supporting seniors care in Qualicum Beach! Please fill out this form to have your voice heard.
  • Image-24
  • I fully support the proposed four storey, 141-suite, assisted living and long term care home at 431 College Road, Qualicum Beach. This project will provide much-needed housing and care services for seniors in our community. I urge Council to approve this project for the benefit of current and future residents of the Town of Qualicum Beach.

    By signing this form I consent to having my name, signature, and support letter submitted to the Town of Qualicum Beach in connection with this project.

  • Powered by Jotform SignClear
  •  - -
  • Additional comments

  • Reminders: By submitting this form, you agree that the information provided is accurate and truthful to the best of your knowledge. Please provide relevant and accurate information to support the cause.

  • Should be Empty: