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Please complete the form below to request a price quote for corporate housing. We will use the information to estimate your current and future needs to offer you the best pricing.

Information about you....
* Required field

First, Last Name:*

Title:*

Company:*

Address:

City, State, Zip:*

Telephone:*

Fax:

Email:*
(ie: you@yourisp.com)

Your Company Information....

Please provide us with your company's relocation department and/or relocation coordinator. This information will enable us to address whether you qualify for corporate rates.

Relocation Department Contact Name:	(HR Dir, Relocation Coordinator, etc.)
Relocation Address:
Relocation City, St, Zip:	,
Relocation Phone:
Relocation Fax:
Relocation E-mail:
Company Web site:

Your Corporate Housing Request....

Area:
Number of Units Needed:
Size of Units:
How many occupants will live in the unit?
Your move in date:
Your move out date:
Price range:
Will you have any pets with you?	No Yes
If yes:	How many? Their type: Their weight lbs.
Comments:

4629 Far Hills Ave.
Suite 1A
Kettering, OH 45429
Ph:937-434-2211
Fax:937-436-1900
Toll Free:800-887-6267