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Your Contact Information

Your Name           

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  Fax #                    
                             
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Accommodation Information
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The Following Information Pertains To Where 
You Are Looking For Rental Accommodations

                                                           
           
In Which City                      
                          

      
In Which State/ Prov      
                               
             Use 2-Letter Abbreviations ( e.g. Florida - FL )

Accommodation Desired

                                        
Be Specific - Apartment, Condo, House

 
# Bedrooms Required   
                                       
1 bedroom, 2 bedroom, 3 bedroom

    
Do You Have Pets ?       
                                     
Yes / No 

Do You Want Your Information Posted So Property Owners 
   Can Contact You
 ?          

                                    
Yes / No

    When Do You Want To Take Occupancy
( mm/dd/yy )

   

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