Mary Jean Barnhill

  

 
251-626-2030 phone
251-604-6946 mobile
marketing@prudentialnichols.com e-mail

9/3/2010

Rental Request Form

Please complete the form below about the rental property that fits your needs. Complete the form as detailed as possible, as it will help to find a more accurate match for your needs.

 

Property Information
 

[ * Indicates a Required Field. ]
Desired City or Area: *
Desired State: *
Size of Home: sq. ft. or more. *
Price Range: Min. /mo.  Max. /mo. *
Size of Lot/Land:   or more.
Number of Bedrooms: or more.
Number of Bathrooms: or more.
Floors: or more.
Car Garage: or more.
Property Type: *
Age:
 
Amenities and Other Features
Please check all that apply.
 

    Property Features
Attic Basement
Den/Office Dining Room
Disability Features Horse Facilities
Horses Allowed Laundry Room
Swimming Pool Spa
Fireplace RV Parking
Loft Dock
Boat Launch Bonus Room
Balcony Master Suite/Retreat
Walk-in Pantry Granite Countertops
Stainless Steel Appliances
     Lot Features

Corner Lot Cul-de-Sac
On Golf Course Water Front
City Lights View Mountain View
River View Ocean View
Water View Hillside View
Garden View Lot: Private

     Community Features
Clubhouse/Rec. Room Exercise Area
Community Golf Course Recreation Facilities
Security Features Senior Community
Community Spa/Hot Tub Community Swimming Pool
Gated Community
 
Additional Comments
Provide any other information, questions or concerns here.

To whom shall I send this information?

First Name:

 *

Last Name:

 *

E-mail Address:

 *

Daytime Phone:

 *

Evening Phone:
What is your current address?

Address:

City:

State:

Zip:

 *
When do you plan on renting a home?
  *
Are you currently working with a real estate agent?

 
How did you hear about this site? *
 

Type the characters that you
see in the above image:

Your privacy is important. Your information will not be shared, sold or exchanged
with anyone outside of the scope of this service.

 

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