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Annual Ribbon of Life®
Golden Rainbow Communities Connected
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Cart
0
About
mission | history
Board of Directors
Staff | Volunteers
Get Involved
Galleries
Services
CASE MANAGERS/PROVIDERS
Programs
• Emergency Financial Assistance
• Return To Work Support
• Free HIV Self-Test
• Medication Support
Housing
Community Partners
• Community Resources
Forms
Capital Campaign
Events
Annual Ribbon of Life®
Golden Rainbow Communities Connected
Donors/SUPPORTERS
Ways to Give
Red Ribbon Society
In-Kind Contributions
Thank You To Our Donors
Grants
Contact
ACKNOWLEDGEMENT OF MOVE IN ASSISTANCE REFUND
Name
*
First Name
Last Name
Client URN #
*
Client Services Manager
*
Amount received from Golden Rainbow - Direct Assistance Program
*
$
Applied toward move in costs at address:
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Refundable deposit amount
*
$
Terms
*
I AGREE to return the full refundable deposit given to me by Golden Rainbow upon the end of my lease agreement, within seven (7) days of receiving the refunded amount. If any amount is deducted from the refundable deposit, I am required to provide an invoice(s) and/or statement(s) of the damages and charges deducted from the deposit by the Landlord or Property Manager. Failure to return the full refundable deposit received, invoice(s), and/or statement(s) to Golden Rainbow will affect any future Move In Assistance requests. All checks, invoice(s), and/or statement(s) should be returned to: 714 E. Sahara Ave. Suite 101 Las Vegas, NV 89104
I AGREE
Thank you!