AAA Corporate Rentals: Information Request

INFORMATION REQUEST

Fill out this form and receive up to $100.00 off a one month or longer lease
of a furnished apartment based on availability.

*Not redeemable for cash. Redemption value not to exceed $100.00
Cannot be used with any other promotion, discount, or with any existing apartment lease.

Name:
Title:
Company:
Billing address:
City:	State/Province:
Zip Code or Postal Code:
Country:
Phone:	(include area code and extension, if any)
Fax:	(include area code)
E-mail address:
Best day to call:
Best time to call:
Your time zone:
Preferred neighborhood:
Preferred unit size:

What is the price range you desire (per month)?
(Include rent, furniture, housewares, utilities and telephone.)

How many people will be living in the unit?

Are any of the above occupants under 10 years of age?
No Yes

Will you have any pets in the unit?
No Yes
If so, please describe number, breed and weight of each pet:

Do you need to be convenient to a particular location?
(Please specify)

Do you need a parking space?
No Yes

Approximate dates of occupancy:

Tell us how you found us (choose one):

Additional information:

Please wait a few seconds after clicking the Submit Form button. Thank you!