ÿþ<html> <head> <title>Apartment Search Form - Dallas, Texas</title> </head> <body bgcolor="#FFFFFF"> <table width="257" border="0" cellspacing="0" cellpadding="0"> <tr> <td> <div align="center"><font size="5"><b><font color="#800000" face="Verdana, Arial, Helvetica, sans-serif">Apartment Search</font></b></font></div> </td> </tr> <tr> <td> <div align="center"><font size="5"><b><font color="#800000" face="Verdana, Arial, Helvetica, sans-serif" size="4">- Dallas -</font></b></font> </div> </td> </tr> </table> <p><b>Sections in</b> <font color="#FF0000">Red</font> <b>are required</b></p> <form method="post" action="http://cgi.nww.net/cgi-bin/finditfm.pl"> <input type="hidden" name="subject" value="Dallas Search Request - L"> <input type="hidden" name="recipient" value="dallas_leads@nww.net"> <input type="hidden" name="redirect" value="http://www.apartmentlocators.com/thankyou.htm"> <input type="hidden" name="required" value="email, firstname, realname, Phone_number"> <input type="hidden" name="print_config" value="email, subject, firstname, realname"> <table width="249" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="99"><font color="#FF0000">First Name:</font></td> <td width="150"> <input type="text" name="firstname"> </td> </tr> <tr> <td width="99"><font color="#FF0000">Last Name:</font></td> <td width="150"> <input type="text" name="realname"> </td> </tr> <tr> <td width="99"><font color="#FF0000">Email:</font></td> <td width="150"> <input type="text" name="email"> </td> </tr> <tr> <td width="99"><font color="#FF0000">Phone:</font></td> <td width="150"> <input type="text" name="Phone_number"> </td> </tr> <tr> <td width="99">Address1:</td> <td width="150"> <input type="text" name="Address_1"> </td> </tr> <tr> <td width="99">Address 2:</td> <td width="150"> <input type="text" name="Address_2"> </td> </tr> <tr> <td width="99">Work Phone:</td> <td width="150"> <input type="text" name="Work_phone"> </td> </tr> <tr> <td width="99">Fax Number:</td> <td width="150"> <input type="text" name="Fax_number"> </td> </tr> </table> <br> <table width="346" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="172" height="24">Best time and place to call:</td> <td width="174" height="24"> <select name="Time_to_call"> <option value="6 am - 9 am" selected>6 am - 9 am</option> <option value="9 am - 12 noon">9 am - 12 noon</option> <option value="12 noon - 3 pm">12 noon - 3 pm</option> <option value="3 pm - 6 pm">3 pm - 6 pm</option> <option value="6 pm - 9 pm">6 pm - 9 pm</option> </select> <select name="Place_to_call"> <option value="Home" selected>Home</option> <option value="Work">Work</option> </select> </td> </tr> <tr> <td width="172" height="24">&nbsp;</td> <td width="174" height="24">&nbsp;</td> </tr> <tr> <td width="172" height="24">Approximate moving date:</td> <td width="174" height="24"> <input type="text" name="Approx_moving_date"> </td> </tr> </table> <br> <table width="347" border="0" cellspacing="0" cellpadding="0"> <tr> <td><font color="#FF0000">Number of Bed Rooms:</font></td> <td> <input type="radio" name="Bedrooms" value="Efficiency"> Efficiency </td> </tr> <tr> <td>&nbsp;</td> <td> <input type="radio" name="Bedrooms" value="1 Bedroom"> 1 Bedroom</td> </tr> <tr> <td>&nbsp;</td> <td> <input type="radio" name="Bedrooms" value="2 Bedrooms"> 2 Bedrooms</td> </tr> <tr> <td>&nbsp;</td> <td> <input type="radio" name="Bedrooms" value="3 Bedrooms"> 3 Bedrooms</td> </tr> <tr> <td>&nbsp;</td> <td> <input type="radio" name="Bedrooms" value="Other (see details)"> Other: <input type="text" name="Bedrooms_other_details" size="10"> </td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td><font color="#FF0000">Number of Occupants:</font></td> <td> <input type="text" name="Number_of_occupants"> </td> </tr> </table> <br> <table width="274" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="81"><font color="#FF0000">Pet:</font></td> <td width="199"> <input type="radio" name="Pets" value="No Pets"> No Pets</td> </tr> <tr> <td width="81">&nbsp;</td> <td width="199"> <input type="radio" name="Pets" value="Cat"> Cat </td> </tr> <tr> <td width="81">&nbsp;</td> <td width="199"> <input type="radio" name="Pets" value="Dog"> Dog - weight <input type="text" name="Pets_dog_weight" size="5"> lbs.</td> </tr> <tr> <td width="81">&nbsp;</td> <td width="199"> Total # of Pets <input type="text" name="Total_pets" size="5"> </td> </tr> </table> <p><font color="#FF0000">What would you prefer: </font>(you can check more than one choice) <table width="264" border="0" cellspacing="0" cellpadding="0"> <tr> <td> <input type="checkbox" name="Prefer_apartments" value="Yes"> Apartment </td> <td> <input type="checkbox" name="Prefer_condo" value="Yes"> Condo </td> <td> <input type="checkbox" name="Prefer_townhome" value="Yes"> Townhome </td> </tr> <tr> <td> <input type="checkbox" name="Prefer_duplex" value="Yes"> Duplex </td> <td> <input type="checkbox" name="Prefer_house" value="Yes"> House </td> <td>&nbsp;</td> </tr> </table> <font size="2">(Please note: Duplexes and houses are very expensive compared to<br> apartments and townhomes of similar quantity.)</font> <p>Do you own a washer/dryer and need hookups? <select name="Provide_washer/dryer_hookups"> <option value="Yes" selected>Yes</option> <option value="No">No</option> </select> <br> Would you prefer a washer/dryer to be provided? <select name="Provide_washer/dryer"> <option value="Yes" selected>Yes</option> <option value="No">No</option> </select> </p> <p>Would you prefer? <select name="Floor_preference"> <option value="Upstairs" selected>Upstairs</option> <option value="DownStairs">Downstairs</option> <option value="Either">Either</option> </select> </p> <p> What area of town do you prefer? <input type="text" name="Area_of_town"> <br> If the specified area is unavailable please let us make some suggestions<br> within <input type="text" name="Area_within" size="6"> <select name="Within_measurement"> <option value="Miles" selected>Miles</option> <option value="Minutes">Minutes</option> </select> of your work/school located at: <input type="text" name="Within_location"> </p> <p>Length of lease: <select name="Lease_length"> <option value="12 Months" selected>12 Months</option> <option value="6 Months">6 Months</option> <option value="Short Term">Short Term (3 months or less)</option> </select> <br> Price range desired: from $ <input type="text" name="Price_min" size="5"> to $ <input type="text" name="Price_max" size="5"> </p> <p> <input type="checkbox" name="Send_area_info" value="Yes"> Check if you would like us to mail your information, maps, relocation packets, etc... </p> <p>How did you hear about us? (This one helps us.)<BR> <select name="Reference_from"> <option selected value="Google">Google</option> <option value="Yahoo">Yahoo</option> <option value="Bing">Bing</option> <option value="Search.com">Search.com</option> <option value="WebCrawler">Web Crawler</option> <option value="OtherSearchEngine">Other Search Engine</option> <option value="DallasBusinessDirectory">Dallas Business Directory</option> <option value="TheWebMap.com">TheWebMap.com</option> <option value="YellowPageAd">Yellow Page Ad</option> <option value="NewspaperAd">Newspaper Ad</option> <option value="Superpages">Superpages</option> <option value="Worldspages">Worldpages</option> <option value="OnLineClassified">On Line Classified</option> <option value="InternetBanner">Internet Banner</option> </select> </p> <p>Additional requirements or comments:<br> <textarea name="Additional_comments" cols="40" rows="6"></textarea> </p> <p> <input type="submit" name="Submit" value="Submit"> <input type="reset" name="Reset" value="Reset"> </p> </form> <p>Findit Apartment Locators, Licenced Real Estate Broker<font size="5"><b><font color="#800000" face="Verdana, Arial, Helvetica, sans-serif"> </font></b></font></p> </body> </html>