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Spring Valley Estates Application Form

Please fill out the following form if you would like to either have your name placed on our ACTIVE waiting list, or have your name on a waiting list, but will call us when you are ready to be on the ACTIVE list.

	Name
	Address
	City, State and Zip
	Phone
	Email
	Date
	Comments and Questions
	Place my name on the Active waiting list (Yes or No)
	Place my name on a waiting list and I will call to be on the Active list (Y or N)
	I prefer an Efficiency apartment (Y or N)
	I prefer a standard one bedroom apartment (Y or N)
	I prefer a deluxe, one bedroom apt. (Y or N)
	I prefer a standard, 2 bedroom apt. (Yor N)
	I prefer a deluxe, 2 bedroom apt. (Yor N)