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Property Address

Affiliation*

Service Branch*

Rank*

UIC*

Dependents*

First Name*

Last Name*

Email*

Phone*

Preferred means of contact

Email Phone

Alt. Phone

Bedrooms

Preferred Rent

Report To Date (mm/dd/yyyy)

Will you be bringing a pet?

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What is your duty zip code?

Where did you PCS from?

What is most important to you in a home?

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