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First Name: Last Name: E-Mail: Home Phone: Work Phone: Fax: Mobile Phone: Pager: Moving Date: Street Address: City: State: Zip: Contact Time: AMPM Contact Place? HOMEWORK # OF Bedrooms: Efficiency1 Bedroom2 Bedrooms3 BedroomsOther Price Range:  From:$(minimum) to $ Washer/Dryer Not ImportantFull Size ConnectionsWasher/Dryer ProvidedStackable Connections Any Pets? NoneDogCatOther? Pet Weight NONE20 lbs or less21-39 LBS40 lbs or Over Number of Pets Length of Lease: Six MonthsLess Than Six MonthsTwelve MonthsOther What area are you planning to live in? Not SureHoustonGalvestonKingwoodWoodlandsKatyClear LakeChampionsTexas CityAlvinWest UniversitySugar LandLeague CityBellaireHumbleDeer ParkConroePearlandPasadenaFriendswoodMemorialOther How did you find us?  Select One AltaVista Excite Infoseek Magellan Yahoo Lycos Search.Com Snap Hotbot WebCrawler MetaCrawker GoTo.Com AOL Netfind Look Smart Other Search Engine On Line Classified Internet Banner I-Net Mall Other Directory Additional Requirements or Comments: