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Rental Application

We can mail, e-mail or fax a Rental Application to you at your request.

Please provide the complete information that we would need to get the application to you below.

PLEASE NOTE:

THERE IS A $30.00 NON-REFUNDABLE APPLICATION FEE

THIS FEE IS PER APPLICANT UNLESS IT IS A MARRIED COUPLE

FEE MUST ACCOMPANY APPLICATION OR IT WILL NOT BE PROCESSED

If you have any questions: please call the office at 610-473-1300,

fax to 610-473-1301, or e-mail postmaster@countryhomere.net

First Name:: *
Last Name:: *
Date of Request: *
Please E-Mail me an Application:
E-Mail:: *
Please mail me an Application:
Street Address:
City/Town - State - Zip:
Please fax me an Application:
Daytime fax number:
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