The Last Resort - Rent your home

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Rent Your Home
Request Application
The Last Resort Home

New Record

Please fill out information below to have someone contact you regarding renting a single room in your home for market or short term housing.
Zone:

( click here to see zone map )

Note: ** We will be unable to rent your home if it is outside of our specified zones.

Distance to market:

miles.

Name of Subdivision:

First Name:

Last Name:

Address:
City:	State:	Zipcode:

Home / Cell Phone:

Work Phone:

Fax Number:

Email:

Type of Bed (King, Queen, Double, Twin or Other)
If other, please specify:

TV?:

Please select any that apply:
Cable Satelite DVD High speed Internet

Central Air Window Unit

Kitchen Privileges

Do you own pets?:

If you answered yes to the previous question, what type of pet / pets do you have?: Cat Dog Bird

Do you smoke?:

Cost:

Per:

There will be a $35.00 fee to view and photograph your home and list it on our website. Your name and phone number will be listed. All communication will be between you and the market guest. You will be assigned a home number. No addresses will be listed on the website.

ALL ROOMS MUST HAVE PRIVATE BATHS.

Remarks:
Please include an emergency number where you can be reached at all times.

This form may take a minute to send... please be patient.