Preferred Corporate Housing
CORPORATE / FURNISHED HOUSING REQUEST FORM

Please complete the form below to submit a lead for FURNISHED corporate housing including furniture, housewares, utilities , cable television and local phone service.
1) Information about you ...
Please provide us with an email address to contact you.

First Name, Last name:
(required)
Title:
Company name:
(required)
Address:
City, state zip:
,
Telephone number:
(required)
Fax number:
E-mail address (ex: you@yourisp.com):
(required)

2) Your Corporate Housing Request ...
Please provide us with your specific housing requirements

Destination name:
(name of business, building, location, etc., not necessary)
Destination address:
(address only, not necessary but helpful)
Destination city, state:
, (required)
Destination zip:
(Enter ZIP CODE of where you need housing)
or
Destination area of town:
{
If you do not know the ADDRESS or ZIP CODE where you need housing, please include the area of town (ex. downtown, medical center, near ...)
Who is the housing for?
Number of apartments needed:
(required)
Size of apartments needed:
(required) (For multiple units, use the Comments Section below.)
How many occupants will live in the apartment?
Your Move In Date:
(Leave Today's date for ASAP) (required)
Your Move Out Date:
(Format: mm/dd/yy)
How long do you need the apartments?
(required)
Will you have any pets with you?
(required)
If yes:
How many? their type and, if dog, then their weight/breed?
Comments:



This information is directly entered into our corporate housing reservations system and a representative will call you shortly to discuss availability and pricing.
You will receive a tracking number to check the status of your request
.

->