Information Request Form

Name

Address

City/Town

State

Zip Code

Day Phone Number

Evening Phone Number

Email

Contact Preference
Daytime Call Evening Call Email

Housing Type
-- Choose one -- Family Student Single Subsidized Elderly Professional Commercial/Retail Other

Number of Bedrooms

First Choice Studio 1 Bedroom 2 Bedroom 3 Bedroom

Second Choice Studio 1 Bedroom 2 Bedroom 3 Bedroom

Rental Term
6 Months 12 Months More than one year

Do you have any pets?
No Pets Dog(s) Cat(s) Other

Close to town?
Downtown Near Downtown Outside Downtown Doesn't Matter

Floor Preference

First Choice Ground Floor Second Floor Third Floor

Second Choice Ground Floor Second Floor Third Floor

Parking Needs
Doesn't matter 1 car 2 cars 3 cars

Pet details:
*There is a 25 lb. limit on pet weight