Reservation Agreement for Apartments Thank you for your interest in Suffield by the River. This form, along with a nonrefundable deposit of $500, upon execution by an agent for Suffield by the River, will insure the applicant’s right to the apartment selected and at the monthly rental fee stated herein, which fee is guaranteed for one year from date of initial occupancy. Although the $500 deposit is nonrefundable, it is credited towards the first month’s rent. Please make checks payable to Suffield by the River, and return the completed application and deposit to: Suffield by the River, 7 Canal Road, Suffield, Connecticut 06078. If submitting this form online, please print your completed form and mail a signed copy along with your deposit check. Name: Birthdate: Second Applicant: Birthdate: Martial Status: Phone: Address: City: State: Zip: Email:   How did you hear about Suffield by the River? Monthly Rental Fee: Apartment No.: Name as you would like it to appear on a brass name plate outside your apartment: If the person completing this application is different from the applicant, please complete this section. Name: Phone: Address: City: State: Zip: Relationship to applicant: I understand and agree that the foregoing application is a reservation for residency. Except for the reservation for residency at the monthly rental fee stated herein, nothing contained herein is binding on either party until a residency agreement has been signed by the parties hereto. All information contained on this application will be treated confidentially. I certify that the information, which I have provided in this application is true and correct to the best of my knowledge and belief.    Home | About Us | Independent Living | Assisted Living | River's Watch | The Villas | Dining Recreation | Rec Desk | Nursing Department | Monthly Calendar | Transportation | Floor Plans VA Benefits | Reservation Agreement | Contact Us | Directions Suffield by the River | 7 Canal Road | Suffield, CT 06078 Ph: 860-668-6672 | Fax: 860-668-4770