The Station @ Fairbanks

General Inquiry Form

Please fill out this form, and someone wtih Bentley Rentals will get back to you within 48 hours.

General Information

Occupancy Date

yyyy-mm-dd

Number of applicants on lease.

How many people will be on the lease agreement?

Are either applicants interested in being a superintendent for the building?

Yes

Unit Type

Are you looking for a three bedroom unit, or a two bedroom unit?

Preferred Floor

Which floor would you prefer your unit to be on?

Primary Applicant Information

Name

D.O.B

yyyy-mm-dd

Current Address

Primary Phone Number

Current Landlord-Name

Current Landlord Phone Number

Reason For Moving

Current Employer

Employer Address

Employer Phone Number

Position

Number of occupants

NOT including those on the lease, how many people will be residing in the home? (ie, children)

Additional Information

Where did you learn about this rental opportunity?

Smoking Houshold

Yes

Do you have any pets?

Yes

Primary Reference

Name

Contact Number

Relation to Applicant

Secondary Reference

Name

Contact Number

Relation to Applicant

Send me a copy of my responses