Thank you for your interest in our INCLUSIVE crashpad! Please take a few moments to answer a few questions for prospective tenants. Feel free to send any other comments, questions, or concerns to buriencrashpad@gmail.com

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* 1. What is your full name?

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* 3. What is your telephone number?

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* 4. What is your current city of residence?

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* 5. Do you identify as LGBTQIA+?

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* 6. Are you a pilot or flight attendant?

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* 7. When do you want to start occupancy?

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* 8. How often do you anticipate needing the crashpad?

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* 9. What amenities are important to you in a crashpad? (Select at least 3)

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