Lease Request Form

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www.CountryClubRentalsInc.com
www.Carl@CountryClubRentalsInc.com
www.Betsy@CountryClubRentals.com
Toll Free 1-866-982-7368
Local: (239) 425-0966

Country Club Rentals, Inc.
Lease Request Form

Carl & Betsy Smith
We will do our best to help you find a Country Club rental property that suits your needs.
Please fill out form below then click the 'Submit Form' button at the bottom of the form.

All red fields must be filled out in order to process your request.

Tenant # 1's First Name:
Tenant # 1's Last Name:
Tenant # 2's First Name:
Tenant # 2's Last Name:

Lease Time Period
Date From:
Date To:

Contact Information
Residential Phone:
Work Phone:
Email Address:

Home Address:
(cont.)
City:
State/Province:
Zip/Postal Code:
Country:

Northern Address:
(cont.)
City:
State/Province:
Zip/Postal Code:
Country:

Please indicate below, the type(s) of properties you would consider:
	Terrace / Condominiums
	Verandas
	Villas
	Single Family Homes

Please answer the following questions:
1. Are there any pets? Yes No

2. Are there any smokers? Yes No

3. Would you accept a unit with one flight of stairs? Yes No

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