Contact Us Form

Contact Us Form -
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Gender?*

MaleFemaleOther
Move In Date*

MonthDayYear
Date
Move Out Date*

MonthDayYear
Date
Smoking?*

All the time!Sometimes?!Never!
Drinking?*

All the time!Sometimes?!Never!
Drugs?*

All the time!Sometimes?!Never!Other
What languages do you speak?*
Location / Bedroom Preference*

Los Angeles / Private bedroom / Private bathroomLos Angeles / Private bedroom / Shared bathroomRiverside / Private bedroom / Shared bathroom
What brings you to West L.A. or Riverside?*

School / College - Domestic StudentSchool / College - International StudentInternship / Optional Practical Training (OPT)Short Term WorkLong Term WorkShort Term VacationLong Term VacationOther
Have you submitted your documents yet?*

Yes, I sent it to: Info@FishLiving.comNot yet. I will send it to: Info@FishLiving.comI just have a question.Other
Want to move in? Feel like you would be a good fit in our community? Are you in school? When do you start school? What is your major? What are your hobbies? Anything else you want to share that you think is important we should know?*
How did you hear about us?*

Referral (who? Share above)Organic Search (where? Share above)4Stay.comAIRBnB.comColiving.comS.M.C. School Housing DeptU.C.L.A. School Housing DeptOther
Please verify that you are human*
Should be Empty:

Contact Us Form -