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Contact Us First Name: * Last Name: * Address: * Apt/Suite/Box: City: * State: ---Select--- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NW NS ON PE QU SK YT * Country: Afghanistan Albania Algeria American Samoa Andorra Angola Antarctica / Norfolk Island Antigua and Barbuda Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahrain Bangladesh Belarus Belgium Belize Benin Bhutan Bolivia Bosnia & Herzogovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Islands Central African Republic Chad Chile China (PRC) Colombia Comoros / Mayotte Island Congo Congo, Dem. Rep. of (former Zaire) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Diego Garcia Djibouti East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Falkland Islands Fiji Islands Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Guadeloupe Guatemala Guinea (PRP) Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast (Côte d`Ivoire) Japan Jordan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyz Republic Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Republic Malta Marshall Islands Martinique / French Antilles Mauritania Mauritius Mexico Micronesia (Federal States of) Midway Island / Wake Island Moldova Monaco Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles / Curaçao New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Réunion Island Romania Russian Federation Rwanda Saint Kitts and Nevis San Marino São Tomé and Principe Saudi Arabia Senegal Seychelles Islands Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre / Miquelon Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Islands Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States / Canada Unknown Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Islands Western Samoa Yemen Yugoslavia Zambia Zimbabwe * Zip: * E-mail: * Phone: * Move-In Date: (mm/dd/yyyy)* Best Time to Call: ----Select---- Anytime Morning Afternoon Evening How to Contact You: -------Select-------- Email Only Mail Only Phone Only Either Mail, Email or Phone Select your Apartment Size: -------Select-------- 1 Bedroom, 1 Bathroom 2 Bedroom, 1 Bathroom 2 Bedroom, 2 Bathroom 3 Bedroom, 2 Bathroom Garage: Questions or Comments: (*) Indicates a required field

4070 Green Isle Way | Saginaw, Michigan 48603 | Telephone: (517) 792-8951