Pre-Screen Form Personal Information Full Name Email Address Phone Number Rental Preferences Desired Move-in Date Property Type Shared Private Number of Bedrooms Number of Bathrooms Preferred Location/City: Fort Erie Niagara Falls St. Catharines Welland Budget Number of Parking Spaces Lease Term Month to Month 6 Months 1 Year Rental Preferences Occupation Current Employer Monthly Income Credit Score Rental Preferences Do you have pets? (Yes/No) ,if Yes, specify type & size: Number of occupants (Adults & Children) Any special requirements? From which agent are you coming? Ayyan Noor Prajwal Anshnoor Talha Patricia Joy Not referred by any agent Consent & Submit Consent I confirm that the information provided is true and accurate. I agree to be contacted by HAH Rentals regarding my application. Send