Coastal Corporate Residences Leasing Form Please, provide as much information as you can. Name: Title: Company Address: City: State: Zip: Email: Daytime Phone: Fax: Best time to call (Include timezone) Do you need to be convenient to a particular location? Approximately how much do you plan to spend on rent per month? (Including rent, furniture, housewares, utilities, telephone, etc.) Desired unit size: If you have any pets, please describe number, breed and weight of each: Approximate dates desired: Comments: Thank you!