Rental Information Request Form
For Furnished Short-Term/Extended Stay Properties




I Will Be Travelling On:
Who Will Be Paying for the Accomodations:
How Will You Be Paying for the Accomodations:
Length of Stay
Check-In-Date
Check-Out-Date
Mississauga 2 Bedroom + Solarium (861 sf.), Highrise Condo Apartment, No Pets. Typical Price: $134/night
Mississauga 2 Bedroom + Solarium (1050 sf.), Highrise Condo Apartment, No Pets. Typical Price: $149/night
Oakville 2 Bedroom, Stacked-Townhouse, Low Rise Complex, Pets O.K. Typical Price: $ 129/night
Oakville 3 Bedroom, Stacked-Townhouse, Low Rise Complex, Pets O.K. Typical Price: $139/night
Oakville 2 Bedroom, Row-Townhouse, Pets O.K. Typical Price: $150/night
Number of Parking Space(s) Required


Contact Information
Please complete all items marked with (*) for a reply. Thank You!

Your First and Last Name *
Your Employer's/Company Name *
Company Address
City *
Province/State *
Country *
Postal/ZIP Code
Telephone Number (Work) *
Telephone Number (Home) *
Telephone Number (Cellular) *
Fax Number (Work)
Fax Number (Home)
E-Mail Address *

Preferred Method of Contact*: E-mail you Call You at Work Call You at Home
Best Time to Call (Work)
Best Time to Call (Home)
Use The Space Below For Additional Information or Requests:


PRESS " SUBMIT NOW " to send this Rental Information Request Form for Furnished Short-Term/Extended Stay Properties to Gordon.
Once your Information Request Form has been received, you will be contacted, by your preferred method indicated.

Thank-you for completing this Rental Information Request Form for Furnished Short-Term/Extended Stay Properties!



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Gordon Chan/Sales Representative, Prudential Elite Realty T.W.
E-mail: info@gordonchan.com, Tel: (905) 629-1515, Fax: (905) 629-0496
5090 Explorer Drive, Unit #100, Mississauga, Ontario, Canada L4W 4T9
Not intended to solicit existing listings or buyers/renters under contract. Prudential Elite Realty T.W. is an independently owned and operated member of The Prudential Real Estate Affiliates, Inc.

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