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Lease Information
Lease Term
*
1 Month
2 Month
3 Month
4 Month
5 Month
6 Month
7 Month
8 Month
9 Month
10 Month
11 Month
12 Month
Number of Bedrooms
*
Studio/One Bathroom
One Bedroom/One Bathroom
Two Bedroom/Two Bathroom
Studio/One Bathroom
Price:
One Bedroom/One Bathroom
Price:
Two Bedroom/Two Bathroom
Price:
Housewares
Do you need housewares?
*
No
Yes
Studio/One Bathroom
Price:
One Bedroom/One Bathroom
Price:
Two Bedroom/Two Bathroom
Price:
Additional Items
Please select additional items wanted.
32” LCD/HD Flat Screen TV - $40.00
42” LCD/HD Flat Screen TV - $65.00
Blu-ray Player - $10.00
TV Stand/Console - $10.00
Microwave - $8.00
Iron/Ironing Board - $22.00
Pillow Pack - $14.00
King Bed Upgrade - $12.50
Sofa Sleeper Upgrade - $10.00
Retreat Mattress Upgrade - Queen - $17.50
Retreat Mattress Upgrade - King - $22.50
Euro Top Mattress Upgrade - Queen - $26.50
Euro Top Mattress Upgrade - King - $30.50
Memory Foam Upgrade - Queen - $30.00
Memory Foam Upgrade - King - $35.00
Writing Desk, Task Chair or Data Port Desk Lamp - $35.00
32” LCD/HD Flat Screen TV - $40.00
Price:
42” LCD/HD Flat Screen TV - $65.00
Price:
Blu-ray Player - $10.00
Price:
TV Stand/Console - $10.00
Price:
Microwave - $8.00
Price:
Iron/Ironing Board - $22.00
Price:
Pillow Pack - $14.00
Price:
King Bed Upgrade - $12.50
Price:
Sofa Sleeper Upgrade - $10.00
Price:
Retreat Mattress Upgrade - Queen - $17.50
Price:
Retreat Mattress Upgrade - King - $22.50
Price:
Euro Top Mattress Upgrade - Queen - $26.50
Price:
Euro Top Mattress Upgrade - King - $30.50
Price:
Memory Foam Upgrade - Queen - $30.00
Price:
Memory Foam Upgrade - King - $35.00
Price:
Writing Desk, Task Chair or Data Port Desk Lamp - $35.00
Price:
Running Total
$0.00
Resident Information
Resident Name
First
Last
Leasing Consultant
*
First
Last
Apartment Representative Email
*
Apartment Representative Phone Number
*
Delivery Date
*
MM slash DD slash YYYY
Property Fax #
Property Name
*
Delivery Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Are You a Military Service Member?
*
Yes
No
Notes
Hidden
District
Total
$0.00
Name
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