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Long Term Application Long Term Applications - We will reply within 24 hours (Bold required) Your name Your e-mail Email addresses must be included and correct to receive a response. Address City Address2 Country State Zip Phone Mobile Fax     Type of Accommodation Madison Apartments St Mary’s Terrace on the Park Salisbury Park West Fitzroy Apartments   Length of Rental/Lease 3 Months 6 Months 12 Months 24 Months furnished unfurnised   Number of Adults 01 02 03 04 05 06 07 08 09 10 Number of Children 01 02 03 04 05 06 07 08 09 10   Check in (approx) Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) Year 2008 2009 2010 2011 2012 2013 2014 2015 Check out (approx) Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) Year 2008 2009 2010 2011 2012 2013 2014 2015   Please select your estimated time of arrival Time of Arrival 12 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM We require a car park   Please enter any special requests or comments Please give as much information as you are able regarding your rental requirements to enable us to advise accordingly.   How did you find Christchurch Accommodation Website? Search engine (specify) Link from another site (specify) Other (specify)   Leave this field blank: Press 'Submit' to send your Application, or 'Reset' to start over.

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