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Room Address & Contact Information
Name:*
Address1:		Address2:
City:*		Zip code:
State:*		Country:*
Email:*(User ID)
Home phone:		Cell phone :
Work phone :	Extn.	Pager :
choose a password to access your file later
Password:*		Re enter password:*
Your gender:*		Age:*
Occupation:		Are you a smoker?

Preferred roommate description
Prefered Gender:
Minimum age:		Maximum age:
Occupation:		Smoker?

Apartment Description
# of bedrooms:*		# of bathrooms:*
Room amenities:*
Rent for roommate:*	/ Month	Security Deposit:
Date Available:*
Comments (Very important. Add a personal touch! Max. 200 Characters.)

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