Drake Manor Management Housing Request Form

Housing Placement Request

- Required Fields are bold and denoted with a (R)

Company Name:

Name: (R)

Work Phone: (R)

(###-###-####)

(Include Area Code. International Numbers start with a "+"

Home Phone:

(###-###-####)

(Include Area Code. International Numbers start with a "+"

Fax:

(###-###-####)

(Include Area Code. International Numbers start with a "+"

Email address: (R)

Rental Length: (R)

(e.g. 8 months)

Move-in Date (R)

Housing Specifications:

Type:

Bedrooms:

Bathrooms:

Furnished:

Yes

Garage:

Yes

Target Rental Rate:

$ Please base cost per month

Other Information:

Please fax or scan & email to the appropriate numbers below

Drake Manor Management
2821 Remington St. Suite 100
Fort Collins, CO 80525
Phone: 970.493.4052 Fax: 970.484.5051
drakemanor@drakemanor.com

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