Phone: +1-617-491-0096, Email: info@boston-life.org

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Application

Life Support (LS) Service Application

Please type in all the information required for the online application below. Once you have finished, please click on SUBMIT.

First name

Last name

Address (number, street, and apt. no.)

City

State

Zip code

Country

Tel (home)

Tel (cellular phone)

Email@Address

Occupation

Hobby

Please select the service type

Individual Life Support

Family or Couple Life Support

Group Life Support

Please select the service date

Please select the services

Finding an apartment Setting up electricity Setting up Gas

Setting up home telephone Setting up cable TV Setting up Internet

Banking Setup Car purchase Cell purchase

Furniture purchase Assisting SSN School support

Driving test support Volunteer opportunity advice Community involvement

Translation advice Virtually any other issue upon request

Comments (I prefer finishing all of services in only one day, etc.):

Other services are available upon request. Please call for more information.

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+1-617-491-0096
info@boston-life.org