112 Main Street - 110 Main Street

Rental Application Form

This form sends an e-mail to us with the information you type in. Please be sure approve all actions your browser asks you. Also be sure if you are using an email client, to actually send the mail that is created. Please indicate the unit in which you are interested in the comment box below.

If you have any problems. Please type the answers directly within an email. If all else fails, you may call 802-387-0718 and if we don't answer, please go ahead and leave a message. We will confirm to you right away and call you as soon as possible upon review of your application to schedule a mutually convenient time for you to view the apartment.  Thanks for your interest.

Name:

Age:

Co-applicants Name:

Age:

E-Mail:

E-Mail:

Current Address:

City:

State:

Zip:

Telephone:

Cell:

Reference Name and Relationship

Telephone:

2nd Reference Name and Relationship

Telephone:

3rd Reference Name and Relationship

Telephone:

Current Landlords Name:

Telephone:

Employer, address and telephone

Co-applicants Employer, address and telephone

Reason for moving/relocating

Date you wish to move in:

Other comment?:

By pressing "Send", you agree to allow us to contact you, your references and employer (unless you specifically ask us not to contact your employer) to verify your information and seek reference.
VERY IMPORTANT!!! THIS METHOD OF FORM SUBMISSION DOES NOT WORK WELL FOR FOLKS ON YAHOO OR GMAIL FOR EXAMPLE.
PLEASE BE SURE WHEN YOU PRESS "SEND" that you see your email client create an email with the information you just entered.
IF YOU DO NOT SEE THIS, THEN THE INFORMATION IS NOT BEING SENT TO US.
IF THIS IS THE CASE, THEN PLEASE COPY THIS PAGE AND PASTE IT INTO AN EMAIL and send to info@gbla.com
OR please feel free to call us at 802-387-0718