Mel Hasty Retirement Center, East Peoria, Ill. - Contact Form Note – Head of household residents of Mel Hasty Retirement Center must be at least 55 years of age. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone Number *Email * an comments Contact Preferred Contact Method *PhoneEmailFor whom are you inquiring?MyselfSomeone elseInterested resident's current age: *How soon do you need housing?Immediately0-3 months3-6 months6+ monthsJust inquiringNumber of potential household members: *Gross annual income: *Do you need an accessible unit? *YesNoHow did you hear about us?Do you have any additional comments or questions?Submit
