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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
Comments or Special Needs
