Legislative Session Rental Housing Information Survey

Please describe the rental space you have available. Contact Nick Herrera (nick.herrera@state.or.us) with any questions you may have.

* 1. Date rental is available:

Date Available:
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* 2. Type of Rental:

* 3. If room only:

* 4. Is the space furnished:

* 5. Garage:

* 6. Carport

* 7. # of Bedrooms:

* 8. # of Bathrooms:

* 9. Pets okay?

* 10. Utilities Included:

* 11. Rental Address:

* 12. Monthly Rent: ($)

* 13. Deposit Required: ($)

* 14. Contact Name:

* 15. Email Address:

* 16. Home Phone Number:

* 17. Work Phone Number:

* 18. Cell Phone Number:

* 19. Comments:

*The anticipated need for housing will be during Session only.

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