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? Anything else you want to share that you think is important we should know?*
How did you hear about us?*

ReferralOrganic SearchAIRBnB4StayColiving.comSchool Housing DeptOther
Please verify that you are human*
Should be Empty:

Contact Us Form -