Company Name:
*
Contact Name:
*
Phone:
*
Fax:
*
Email:
*
Arrival Date:
*
Departure Date:
*
City:
*
State:
*
Housing Type:
Private Home
Apartment
Full Corporate: (includes cost of rent and utlities)
Yes
No
High Speed Internet:
Yes
No
Maid Service:
Yes
No
Other:
Number of Bedrooms/Bathrooms:
1 bed/1 bath
2 bed/1 bath
2 bed/2 bath
3 bed/2 bath
Other
Number and Type of Beds:
King:
Queen:
Twin:
Housewares: (dishes, utensils, linens, small kitchen appliances, etc.)
Yes
No
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Phone: 541-501-0318 • Fax: 541-895-3494