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Application for Residency

please print application and scan & email, or fax to us

fax (607) 378-6617  email


Application for Residency - PDF version

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Bethany Village, in compliance with New York State and Federal laws which prohibit discrimination based on race, creed, color, national origin, age, sex, marital status, sexual preference, disability, blindness, source of payment or sponsorship, this facility admits and treats all residents on a non-discriminatory basis.