First Name *

Last Name *

Phone *

Email *

Which home are you interested in? *

Which area(s) are you interested in living in? (include zip codes) *

Which room type are you interested in? (bathroom preference) *

Total number of occupants *

Monthly room budget (including utilities) *

How many months do you plan on staying? *

Desired move-in date *

Have you lived in a multi-tenant / shared house before? *

Yes

Do you have pets? *

Yes

ESA/Service Animal

What kind of pet do you have?

Do you smoke/vape? *

Yes, and I agree to smoke/vape outside property

Which personality type are you primarily? *

Introvert

Extrovert

Any pet peeves we should know about living with others? *

How did you hear about us? *

Who referred you?

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By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from Stay Cozy Living at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.