Rental Wish List

Rental Wish List
Requested Date of Occupancy*

MonthDayYear
Please note this date is not guaranteed
Location Preferences*

PembrokePetawawaDeep RiverChalk RiverOther
Rental Price Budget*
Preferred Number of Bedrooms & Bathrooms*
Building Preferences*

ApartmentDuplex/TriplexTownhouseDetached Single Family HomeRoom RentalNo Preference
Please provide any information that might help us find you a property that suits your needs *
Applicant Information
Applicant Name:*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Email Address: (Please ensure that your email is valid as all communication will be made using this email address provided)*
example@example.com
Phone Number:*
Please enter a valid phone number.
Photo ID:*

Any Photo ID is acceptable
Cancelof
Place of Employment:*
Monthly Income:*
Additional Information
Number of Occupants*
Ages of Occupants*
Do any Applicants smoke/vape tobacco or marijuana?*

YesNo
Do you own a pet? *

YesNo
If yes, number of pets and type:*
If No, Please write N/A
Reason For Moving:*
Current Address:*

Street Address

Street Address Line 2

CityProvince

Postal Code
Preferred Viewing Times
Questions/Additional Information
Terms and Conditions
I warrant, to the best of my knowledge, all of the information provided in this Application is true, accurate, complete and correct as of the date of this Application. If any information provided by me is determined to be false, such false statement will be grounds for disapproval of my Application or termination of my Lease with Owner.

I understand and agree: (i) this is an application to view only and does not guarantee that I will be offered a viewing of the Property, and (ii) only successful applicants with approved applications will be contacted to schedule viewings.
Do you agree to the Terms and Conditions*

YesNo
Where did you hear about us?

FacebookKijijiAdvertising SignsWeb SearchReferralOther
Should be Empty:

Rental Wish List

Applicant Information

Additional Information

Terms and Conditions