1225 Franklin Ave. Suite 325, Garden City, N.Y. 11530

 (516)512-8911

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• Name *
  First Last
   
• Phone *
  ### - ### - ####
   
• Cell Phone
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• Email *
   
• Price Range Lowest
  $ Dollars . Cents
   
• Price Range Highest *
  $ Dollars . Cents
   
• Desired Location(s) Towns, Counties, Zipcodes etc.
   
• Minimum # of Bedrooms Required *
  1

  2

  3

  4

  5

  6

  7

  8

  Other
   
• Minimum # of Bathrooms Required *
  1

  2

  3

  4

  Other
   
• Other Desired Features?
   
• Are you looking for a whole house rental? *
  Yes, Whole House.

  No, An apartment.

  Either is Fine.

  Other
   
• Any type of Housing Programs? *
  No

  Yes. Type of Program?
   
• Do you have Pets? *
  No

  Yes. Type of pet(s)?
   
• How soon are you looking to move? *
  Immediately

  3-6 months

  Just Feeling the Market.

  Other
   
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