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First Name*
 Last
Name*
 12
Month Rental Period You are Looking For (e.g. Sept 07 - Aug 07)*
 Email
Address *
 Phone
 Fax
 City*
 Prov/State
 Country*

Please Check off all
that apply:
 I prefer to live at 36-42 University Ave. E. Waterloo
 I prefer to live at 175 Weber St. N. Waterloo
 I prefer to live at 151 King St. N. Waterloo
 I prefer to live at 324 Regina Street Waterloo
 I prefer to live at 104 Marshal Street Waterloo
 I need a 1-bedroom apartment
 I need a 2-bedroom apartment
 I need a 3-bedroom apartment
 I need a 4-bedroom apartment
 I need a 5-bedroom apartment
 I have all my roommates pre-arranged
 I need a roommate
 I would like all female roommates
 I would like all male roommates
 I can live with a mix of female and male roommates 
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