Parker-Holsman Co: Apartment Prospect Form

	Apartment Prospect Form
Parker-Holsman CO. 1461 East 57th Street Chicago, IL 60637 773-493-2525 Your Neighborhood Realtor since 1931

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Thank you for the opportunity to allow Parker-Holsman Co. to assist you with your search for an apartment in the Hyde Park and South Shore neighborhoods of Chicago. Please fill out the form below and then click on the "Submit" button. An email message will be sent to our rental management team and someone will respond to you within 48 hours.

This form works best with Netscape Navigator 4.0 and Microsoft Internet Explorer 5.0 or later. If you experience problems submitting this form, please send an email to our Rental Team with your information or use an alternate method to contact us so that we may continue to be of assistance.

Name:

Home phone: Work phone:

Cell phone:

Email:

Which is the best way for us to contact you? (Choose only one)
Home phone Work phone Cell phone
Email

What is the best time to contact you? (Choose only one)
Daytime (9 am - 5 pm) Evening (5 pm - 10 pm) Either

What size apartment are you interested in? (Choose only one)
Studio 1 Bedroom 2 Bedrooms 3 Bedrooms or larger

What price range are you interested in? (Choose only one)
under $500 $500-$700 over $700

When do you desire/need this apartment?
(example: 10 Nov 2006)

Number of occupants:

Do you need an apartment that allows pets (cats, dogs, birds, etc.)?
No Yes

Are you a student at the University of Chicago? No Yes
If yes, what is your program? (Choose only one) Grad Undergrad Medical Business

Do you have any additional information that we might need, such as a particular location of interest, handicapped access, etc.? Please give us as many details as possible to help us find an apartment that meets your needs.

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