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Name
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Lease Information
Lease Term
*
1 Month
2 Month
3+ Month
Number of Bedrooms
*
Studio
1 Bedroom
2 Bedroom
3 Bedroom
Studio 1 Month
Price:
Studio 2 Month
Price:
Studio 3+ Month
Price:
1 Bedroom 1 Month
Price:
1 Bedroom 2 Month
Price:
1 Bedroom 3+ Month
Price:
2 Bedroom 1 Month
Price:
2 Bedroom 2 Month
Price:
2 Bedroom 3+ Month
Price:
3 Bedroom 1 Month
Price:
3 Bedroom 2 Month
Price:
3 Bedroom 3+ Month
Price:
Housewares
Do you need housewares?
*
No
Yes
Number of Bathrooms
1
2
Studio (1 Month)
Serene Houseware $321
Dapper Houseware $456
Regal Houseware $618
Studio (2+ Month)
Serene Houseware $161
Dapper Houseware $228
Regal Houseware $309
1 Bed/1 Bath (1 Month)
Serene Houseware $321
Dapper Houseware $456
Regal Houseware $618
1 Bed/1 Bath (2+ Month)
Serene Houseware $161
Dapper Houseware $228
Regal Houseware $309
2 Bed/1 Bath (1 Month)
Serene Houseware $456
Dapper Houseware $591
Regal Houseware $861
2 Bed/1 Bath (2+ Month)
Serene Houseware $228
Dapper Houseware $296
Regal Houseware $431
2 Bed/2 Bath (1 Month)
Serene Houseware $510
Dapper Houseware $645
Regal Houseware $888
2 Bed/2 Bath (2+ Month)
Serene Houseware $255
Dapper Houseware $323
Regal Houseware $444
3 Bed/2 Bath (1 Month)
Serene Houseware $591
Dapper Houseware $780
Regal Houseware $1,158
3 Bed/2 Bath (2+ Month)
Serene Houseware $296
Dapper Houseware $390
Regal Houseware $579
Additional Items
Please select additional items wanted.
Upgrade to Sleeper $31.05
Upgrade to 2 Twin Beds $35.10
Upgrade to Standard King Bed $31.05
Upgrade to Pillowtop Bed $47.25
39" Flat Screen TV $48.60
55" Flat Screen TV $133.65
DVD Player $8.10
Stereo Shelf System with iPod dock $27.00
TV Console $24.30
Microwave $18.90
Writing Desk, Desk Chair, Lamp $39.15
Vacuum $25.65
Club Chair or Recliner $35.10
Floor Lamp $16.20
2 Bar Stools $33.75
Artwork $9.45
Rug $29.70
Bedroom Accent Pillows $9.45
Upgrade to Sleeper $31.05
Price:
Upgrade to 2 Twin Beds $35.10
Price:
Upgrade to Standard King Bed $31.05
Price:
Upgrade to Pillowtop Bed $47.25
Price:
39" Flat Screen TV $48.60
Price:
55" Flat Screen TV $133.65
Price:
DVD Player $8.10
Price:
Stereo Shelf System with iPod dock $27.00
Price:
TV Console $24.30
Price:
Microwave $18.90
Price:
Writing Desk, Desk Chair, Lamp $39.15
Price:
Vacuum $25.65
Price:
Club Chair or Recliner $35.10
Price:
Floor Lamp $16.20
Price:
2 Bar Stools $33.75
Price:
Artwork $9.45
Price:
Rug $29.70
Price:
Bedroom Accent Pillows $9.45
Price:
Running Total
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
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Texas
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U.S. Virgin Islands
Vermont
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Washington
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Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Are You a Military Service Member?
*
Yes
No
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