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Please complete the following so we may send you the information you requested. And with the information, we'll send you a FREE HighPoint mouse pad:

Name
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Apartment size desired:

One Bedroom/One Bath
Two Bedroom/One Bath
Two Bedroom/Two Bath

Do you have any pets?

Yes No

How did you hear about our web page?

Chicagoland Apartment Guide
Relcon Apartment Guide
Newspaper Ad
Search Engine
Referring Site
Direct Mail
Signage
Word of Mouth
Resident Referral

When do you need to move in?

-- mm/dd/yy

By when will you make your decision?

-- mm/dd/yy

Do you currently reside in an apartment?

Yes No

What is the name of the community?



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175 S.HighPoint Drive
Romeoville, Illinois 60446
815-588-6160(Voice)
815-588-6156(Fax)