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Organization Registration
Please fill out form with necessary information and click the submit button below.
Organization/Group Name
The Bay at Colonial Manor
Primary Phone
715-842-2028
Primary Email
Address
3419 N. 12 St.
Address Ln 2
City
Wausau
State
WI
Zip
54403
Individual Contact Information
First Name
Last Name
Cell Phone
(Primary)
Phone
(Alternate)
Department
Email
Password
(Minimum of 6 Characters)
Password
(verify)
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