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Please take a couple of minutes to provide us
with the following information.
This will assist us in finding the best price at a rental community
that meets your needs.

How Should We Contact You?
*First Name: *Last Name:
Address:
City: State:
ZIP Code:
*Day Phone: *Night Phone:
*E-Mail: FAX:

* First Name, Last Name, phone number (with area code) and E-Mail required
How long have you lived at the above address?
Best Time To Contact You:
At:

Apartment Information

  Houston Memorial Area Questionaire

Choose Your Areas of Interest

North

Woodlands

Conroe

Kingwood

Humble

FM1960

Airport

East

Baytown

North Shore

South

NASA/Clear Lake

Pasadena

Friendswood

Pearland

Galveston

West

Katy

Stafford

Sugarland

Central

Medical Center

Downtown

Galleria

 

 

* Number of Bedrooms, Rent Range and Projected Move Date required

Type of Apartment:
*Number of Bedrooms:
Number of Bathrooms:
Square Footage Needed (FT2):
Number of People Occupying Unit:
*Rent Range:
To
*Projected Move Date

Special Needs

Do you need rental furniture?    Yes   No

Pets    Yes   No Type of Pet: Weight of Pet:

Need

 Want
Washer/Dryer Connections
Washer/Dryer Included
Fireplace
Upstairs
Downstairs
Covered Parking
Fitness Center
Business Center
Access Gates
Other:
Other:
Other:

Where Did You Find Us?

Relocation Information

  Newspaper

  The Yellow Pages

  Search Engine

  City Web Site

  Billboard

  Other Specify:

Who do you work for?

Are you a new hire?:    Yes   No

Are you relocating to this area?    Yes   No

If yes where from?

 

 

Additional Comments: