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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 Seventh Street - P.O. Box 94
Victoria, KS 67671

Contact for help in filling out the forms:
Marilyn Braun 785-735-4968
Breda Dreiling 785-735-4141

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