First Name:     Last Name:  
Phone Number:     Fax Number:  
Email Address:     Employer:  
Number of Occupants:     Pets:(What kind and size?)  
When are you needing an apartment?     Number of Bedrooms:  
How did you hear about us?     Please specify other here:  

How would you prefer us to contact you? E-mail
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Notes:  


   

 Country Club Estates
 5205 E Cortland Blvd
 Flagstaff, AZ 86004
 Phone: (928)526-5697  Fax: (928)527-0996
 Email: countryclubestates@amcllc.net
 Website: www.countryclubestatesapts.com