RENTER FORM
Corporate Quarters - Augusta, Georgia
332 Baston Road
Augusta, Georgia 30907
office@cqaugusta.com

706-860-6646 Voice
706-860-4636 Voice
706-860-8500 FAX

Renter Information: Email Address:
Name: 


Business Telephone: 

Title: 
FAX #: 
Business Name: 
Home Telephone: 
Business Address: 
Home Address: 

Accommodation Information:

Yes, I would like the same accommodations as last year, if available.

Arrival Date:

Departure Date: 

I would like to Rent:
  5 Bedroom home

Number of Couples:
4 Bedroom home Number of Singles:
3 Bedroom home Number of Children:
2 Bedroom home Ages of Children:
1 Bedroom home Number of Bathrooms:
I would like Maid Service.

Location:

Price Range:

Print Form and FAX
         A contract with this information will be mailed to you right away.
         Thank you.
© Copyright 2000 EZ Net Commerce, Inc. All Rights Reserved.