Residential Rental Requirements
First Name:
Last Name:
Street1:
Street2:
City:
State:
Zip:
Country:
Home Phone:
Work Phone:
Fax:
Fax Instructions:
Cellphone:
E-Mail:
Please contact me:
By phone at home
By phone at work
By cellphone
By email
Number of Occupants:
How many bedrooms do you require?
Any smokers?
We have smokers who want to smoke indoors
We have smokers willing to smoke outdoors
There are no smokers in our group
Any pets? Please describe
(How many? Size, Age? Any bad habits? References?)
What time frame do you need?
Over-Winter ("Sept. to June")
A few months
Year-Round
Flexible
What date to start?
Price Range or Max/Month
(not including utilities)
Are you willing to take a property that is on the market?
This means you would agree to showings by brokers (with prior notice)
Yes
No
Would consider
Furnishings:
Unfurnished
Fully Furnished
Partially Furnished
Flexible
Do you need a garage?
No
Yes
Flexible
Do you need a basement?
No
Yes
Flexible
Location Preferred:
Other acceptable locations:
Any special requirements -- allergies, difficulty with stairs or slopes, etc.:
Anything else you'd like to add:
Thank you!
