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    First Name: *

    Last Name: *

    E-Mail Address: *

    Rental Type: *
    ApartmentGuest HouseHouseShare Room

    Distance from LAAFA: *
    Within 5 milesWithin 10 milesWithin 15 milesBeyond 20 miles

    Monthly Rental Cost Range: *

    What is your mode of transportation?: *
    carBusMetroRide Share

    Do you require access to a parking lot?: *
    YesNo

    Smoking or Non-Smoking?: *
    SmokingNon-Smoking

    Furnished or Unfurnished Housing?: *
    FurnishedUnfurnished

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