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RENTAL REGISTRATION FORM

*name

additional occupant

mailing address

city

state

zip

*phone

fax

email address

have you given notice to vacate?

yes    no    N/A

When do you need the rental?

specify date Flexible

How many bedrooms do you require?

1, 2, 3, 4, flexible

How many bathrooms do you require?

1, 2, 3, flexible

What is your upper price limit?

$

Do you have pets?

yes   no

type        weight

Do you have children?

yes   no     how many

What types of rentals do you require?

(you can choose more then one option by holding the CTRL key while clicking on the next option.)

What brought you to Citywide Rentals.com

Please choose the areas you wish to live in

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Other area - please specify

 

Please choose required features that you must have

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Other requirements - please specify

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