Kevin Guest House
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Monday, July 10, 2017
Glen Oak Golf Course
Join host Kevyn Adams and local celebrities at this sell-out event!

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Kevin Guest House
782 Ellicott Street
Buffalo, New York 14203
Phone: (716) 882-1818
Fax: (716) 882-1291

Member of the Healthcare
Hospitality Network
Healthcare Hospitality Network

Kevin Guest House Hospitality House

At present, contributions are made based on each guest's ability to pay. The suggested donation is $25.00 per night, per person for lodging in the Main House. Bone Marrow apartments can be reserved through the Social Work department at Roswell Park Cancer institute

Please submit this form and we will be in touch with you regarding our room availability: (All fields are required)

**PLEASE NOTE: If you receive an error filling out the form, please call (716) 882-1818 for a reservation.**

Patient Name:
Person Making Reservation:
Names of Guests that will be staying at Kevin Guest House (including patient, if applicable):
Phone Number - -
Cell Phone - -
E-mail address
Arrival Date
Approx. arrival time:
(Sat. & Sun. before
10am or after 6pm)
Departure Date
Hospital Name:
Stayed here before? Yes    No
Date of Prior Stay
All bedrooms are upstairs. Able to do stairs unassisted? Yes    No
3rd Floor? Yes    No
Share queen size bed with person accompanying you? Yes    No   NA
Please indicate any specific questions or comments below:

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