Rental Request Form

Please complete the form below about the rental property that fits your needs. Complete the form as detailed as possible, as it will help to find a more accurate match for your needs.
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Property Information

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sq. ft. * Square Footage
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sq. ft. Square Footage
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Amenities & Other Features

Please Choose All that Apply

Property Features

Lot Features

Community Features

Additional Comments

To Whom Shall I Send this Information?

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What is Your Current Address?

Further Information

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Submit Request

Your privacy is important. Your information will not be shared, sold or exchanged with anyone outside of the scope of this service.

Copyright © 2012 Karl Nettgen. All Rights Reserved.
Each Office Independently Owned and Operated
Karl Nettgen
CENTURY 21 Agate Realty
Ph: 541-698-8171Fax:541-247-2368
29642 S. Ellensburg Ave.
Gold Beach, OR 97444 US
Licensed Real Estate Broker 960800126
www.goldbeachoregon.net
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