Renter's Criteria Checklist

The Gatehouse Group of William Raveis Real Estate

To see our list of rentals in Fairfield County, Connecticut, please complete this form and submit it to us. Due to our high level of requests, we can not respond to everyone. If you would like us to call you, please specify in the below form your preference to be contacted or not. A sales agent will not call you unless you request it. We respect your right to privacy. We will not sell, distribute or release any personal information we receive from you on this database without your permission/consent. This information is gathered and used only by The Gatehouse Group of William Raveis RE to help improve the service to our customers.

We look forward to helping you find a new home. Call (203) 357-7001 or Toll-Free (800) 688-8501 Ext 34, or Ask for Tom & Karen Finn. Good Hunting!

Please provide the following contact information: (* = Required)

First name *

Last name *

Middle initial

Home address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

Home Phone

FAX

E-mail *

Best Place to Call

Do you want someone to contact you? Yes No *

How many people is this rental for?

Do you have any Pets?

Yes No *

What are your minimum requirements?

Studio Apartment      1 Bedroom             2 Bedrooms            3 Bedrooms          
4 + Bedrooms          1 Bathroom            1 1/2 Bathrooms       2 Bathrooms         
2 + Bathrooms         Master BR + Bath      Den/Office            Living Room         
Formal Dining Room    Eat-In-Kitchen        Dishwasher            Fireplace           
Laundry in Unit       Laundry in Complex    Deck/Terrace          Garage              
Central Air           Rail Road/Bus Access  Single Family         Townhouse           
Multi-Family          Private Yard

When would you like to occupy your new home?

What is your approximate price range (without utilities)?

Under $1,000
$1,000 - $2,000
$2,000 - $3,000
$3,000 - $4,000
$4,000 - $6,000 +

What towns would you like to see homes in?

Stamford   Darien     Norwalk    Wilton   
Westport

Is there anything else you would like us to consider/include that is not above?

Thank you for completing our Form. Do you have any comments or suggestions to improve our services?

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Relocating?

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First name	*
Last name	*
Middle initial
Home address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail	*
Best Place to Call

Renter's Criteria Checklist

Copyright ©1997-2004 by Gatehouse Realty, Inc. Last revised: March 16, 2004

Copyright ©1997-2004 by Gatehouse Realty, Inc.
Last revised: March 16, 2004