LBK Realty
Renters Contact Form

* 1. Name:
* 2. Email Address:
* 3. Home Phone Number:
  4. Work Phone Number:
  5. Cell Phone Number:
* 6. Preferred Move In Date:
    Are You Flexible? Yes: No:
  7. How many occupants will there be?
  8. How many bedrooms do you require?:
  9. What size and how many beds do you have? King: Queen: Double: Twin:
  10. Price Range: to
  11. How many cars do you have?
  12. Do you need to be near public transportation? Yes: No: If so what type?
  13. How many children reside with you?
  14. Do you or any of the occupants smoke? Yes No
    If yes, do you need to smoke indoors? Yes No
  15. What type of pets if any do you have?
    If cat(s):
    a) How Many?    b) Declawed? Yes No   c) Age(s):
    d) Fixed? Yes No   e) What type? Indoors Outdoors Both
    If dog(s):
a) How many?    b) Breed type:
c) Age(s):    d) Weight(s):
e) Fixed? Yes No   f) Female: Male:
    Comments about your pet(s):
  16. Necessary Rquirements?
  17. Preferences?