EmailMe Form - LANDLORD CONTACT INFORMATION FORM

Full Name: *

First Last

Email: *

Phone Number: *

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please indicate what type of housing accommodation you have available for students to rent: *

Single bedroom with private bathroom

Single bedroom with shared bathroom

Fully separate accommodation (Entire apartment or house)

Multiple bedrooms. How many? __________

Other - Please specify:

Please provide details of on-site amenities. Check all that apply: *

Other amenities:

Please indicate how many occupants in total will be residing at this residence once rented: *

Please indicate how many and what type of pets will be residing at this residence: *

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