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Client Information Form

Please fill out this form completely, and a Citi Habitats agent will contact you within 24 hours. Or, please feel free to stop by the Citi Habitats Office Location nearest you to fill out a form in person. (*Denotes a required field.)

*First Name:  *Last Name: 

*Current City: 
*Current State:  *E-mail Address: 

*Home Phone:     Work Phone:     Mobile Phone: 


TYPE:  Rental   Sale
  *MOVE-IN DATE:  APT SIZE:  Studio   1 BR   2 BR   3+ BR

*LOCATION: 
  *MAX PRICE: 
DOORMAN:  Yes  No
PETS:  Yes  No

NOTES:

HOW DID YOU HEAR ABOUT US?  
 

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