Apply for Lease Contact us by filling out the form below. Tenant(s) Full Name(s)*Address of Property Tenant is applying to rent400 Regent W724 Regent WDugald Evergreen Lodge330 Main St Selkirk353 Regent WOtherDesired Date of Occupancy*E-mail Address*E-mail Address 2Present Address*Present Phone Number(s)*Length of Time at Present Address*Present Landlord's Name and Phone*Reason for Moving*Previous Address*List the names of all persons who will be living at said premises. Subject to laws of the area and province, no other person(s) are allowed without the prior written permission of the landlord*Monthly Income*List All Sources of Income (Include Employer's Name, Phone, Length of Employment*References (other than relatives):*References (other than relatives)*Car (make, model, year)*License Plate #*License ID #*Emergency Contact (name, relationship, address, phone*Additional infoBy submitting I consent to having this website store my submitted information so they can respond to my inquiry.Send Error occured. Please confirm your data and submit again: