ÿþ<html> <head> <link rel=stylesheet href="seniorcare.css" type="text/css"> <title>SeniorCare Associates, Inc.</title> </head> <body bgcolor="#363154"> <table width="100%" align="center"> <tr> <td align="center"><img src="images/road.jpg" width="800" height="217"></td> </tr> <tr> </table> <table width="100%" align="center"> <tr> <td align="center"><a href="home.html"><img src="images/homeoff.jpg" width="125" border="0"></a> <a href="services.html"><img src="images/servicesoff.jpg" width="125" border="0"></a> <a href="resources.html"><img src="images/resourcesoff.jpg" width="125" border="0"></a> <a href="staff.html"><img src="images/staffoff.jpg" width="125" border="0"></a> <a href="getstarted.html"><img src="images/startoff.jpg" width="125" border="0"></a> <a href="contact.html"><img src="images/contacton.jpg" width="125" border="0"></a></td> </tr> </table> <table width="87%" align="center" cellpadding="15"> <tr> <td colspan="2" bgcolor="#FDFD9D" valign="top" align="center"><font color="#312B5E" size="2">Senior Care Associates provides geriatric care management services in northern Virginia including the cities of Alexandria, Annandale, Arlington, Ashburn, Burke, Centreville, Chantilly, Clifton, Fairfax, Falls Church, Great Falls, Herndon, McLean, Manassas, Manassas Park, Oakton, Potomac Falls, Reston, Springfield, Sterling, Tysons Corner, Vienna and Woodbridge. These cities are in the counties of Arlington, Fairfax, Loudoun and Prince William.</td> </tr> <tr> <td width="100%" bgcolor="#FDFD9D" valign="top"><BR> <P align="center"><font color="#312B5E" size="4"><b><u>Contact Us</u></b></p> <p align="center">Senior Care Associates<br>5510 Hamlet Hill Court<br>Fairfax, VA 22030<BR>(703) 502-0240 - phone<BR>(703) 502-8927 - fax<BR><a href="mailto:linda@seniorcare-associates.com">E-mail Senior Care Associates</a></p><BR> <p align="left">Or, submit this form to discuss your specific situation:</p><BR> <center><form id="emf-form" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/Dj83cP73amAJe0aR" name="emf-form"> <table style="text-align:left;" cellpadding="2" cellspacing="0" border="0" bgcolor="#FDFD9D"> <tr> <td style="" colspan="2"> <font face="Verdana" size="2" color="#312B5E"><b style="font-size:20px;">Contact Information</b><br /> </font> </td> </tr> <tr valign="top"> <td id="td_element_label_0" style="" align="left"> <font face="Verdana" size="2" color="#312B5E"><b>Name</b></font> </td> <td id="td_element_field_0" style=""> <input id="element_0" name="element_0" value="" size="45" class="validate[optional]" type="text" /> <div style="padding-bottom:8px;color:#312B5E;"></div> </td> </tr> <tr valign="top"> <td id="td_element_label_1" style="" align="left"> <font face="Verdana" size="2" color="#312B5E"><b>Phone</b></font> </td> <td id="td_element_field_1" style=""> <table cellpadding='0' cellspacing='0' border='0'> <tr> <td style='padding-left:0px;'> <input maxlength='3' style='width:30px;' value='' id='element_1_1' name='element_1[]' type='text' class='validate[optional,custom[onlyNumber],length[3,3]]' /><br /> <font face="Verdana" size="2" color="#312B5E">###</font> </td> <td style='padding-top:5px;padding-left:3px;' valign='top'> <font face="Verdana" size="2" color="#312B5E">-</font> </td> <td style='padding-left:3px;'> <input maxlength='3' style='width:30px;' value='' id='element_1_2' name='element_1[]' type='text' class='validate[optional,custom[onlyNumber],length[3,3]]' /><br /> <font face="Verdana" size="2" color="#312B5E">###</font> </td> <td style='padding-top:5px;padding-left:3px;' valign='top'> <font face="Verdana" size="2" color="#312B5E">-</font> </td> <td style='padding-left:3px;'> <input maxlength='4' style='width:40px;' value='' id='element_1_3' name='element_1[]' type='text' class='validate[optional,custom[onlyNumber],length[4,4]]' /><br /> <font face="Verdana" size="2" color="#312B5E">####</font> </td> </tr> </table> <div style="padding-bottom:8px;color:#312B5E;"></div> </td> </tr> <tr valign="top"> <td id="td_element_label_2" style="" align="left"> <font face="Verdana" size="2" color="#312B5E"><b>Email</b></font> </td> <td id="td_element_field_2" style=""> <input id="element_2" name="element_2" class="validate[optional,custom[email]]" value="" size="30" type="text" /> <div style="padding-bottom:8px;color:#312B5E;"></div> </td> </tr> <tr valign="top"> <td id="td_element_label_3" style="" align="left"> <font face="Verdana" size="2" color="#312B5E"><b>Message</b></font> </td> <td id="td_element_field_3" style=""> <textarea id="element_3" name="element_3" cols="60" rows="15" class="validate[optional]"> </textarea> <div style="padding-bottom:8px;color:#312B5E;"></div> </td> </tr> <tr> <td colspan="2" align="center"> <input name="element_counts" value="4" type="hidden" /> <input name="embed" value="forms" type="hidden" /><input value="Send" type="submit" /> </td> </tr> </table> </form> </center></tr> <tr> <td colspan="2" bgcolor="#FDFD9D" valign="top" align="center"><font color="#312B5E" size="3">Senior Care Associates, Inc.&nbsp;&nbsp;&nbsp;5510 Hamlet Hill Court&nbsp;&nbsp;&nbsp;Fairfax, VA 22030<br>Office: (703) 502-0240&nbsp;&nbsp;&nbsp;Fax: (703) 502-8927&nbsp;&nbsp;&nbsp;<a href="mailto:linda@seniorcare-associates.com">linda@seniorcare-associates.com</a></td> </tr> <tr> <td colspan="2" bgcolor="#FDFD9D" valign="top" align="center"><font color="#312B5E" size="1">&#169; 2012 SeniorCare Associates, Inc., All Rights Reserved<BR>Site designed by <a href="http://www.jewelcode.com">JewelCode Corporation</a></td> </tr> </table> </body> </html>