Checking Account Information (All
information in this section is required):
* OR You may fax us a copy of your
check made payable to "Express Rentals" * *=Indicates
Required Fields **=For
these fields, you may type in "phone" and call us with this information
if you prefer. Or
FAX the information -- FAX: (405) 524-1484
Part
A-
Check Number**
Part
B -
Branch Number**
(example:
11-35/1211)
Your
name and address as
on check**
DL#
(if included)
Address
(apt# if any)
City,
State, Zipcode
Bank
name & address as shown on this check**
Bank Phone Number**
Transit
number**
(number with the bar and 2 dots before and after)
(9
digits)
Account
number**
(do
not include check number)
Your Contact Information:
Name*
E-mail address*
Address*
City, STATE ZIP*
If your mailing address is different than the
address on your check, please indicate here.
Home
Phone Number*
Work Phone Number
Driver's License*
and State:*
FAX Number:
Best Time to Contact
You:*
Sign Me Up!*
$59 (Includes First List
and updates for up to 45 days) Listings will include
addresses and phone numbers.
$45 Roommate Only Listings
(Includes First List and updates [if needed] for up to 45 days).
(Additional time is available
for an additional fee, if needed. Please call our office
for details.)
Specify
how you would like updates:*
Email
(sent 6 times
weekly)
FAX
(sent at each
request)
Pick-Up (in
our office)
Where
did you hear about Express Rentals?*
City
Codes To Include (up to 8) (Tip: You can type the first
letter of the city you want, and use the down-arrow key for more
cities)
* YOU MAY MIX 'N'
MATCH CITIES AND AREAS *
Area
Numbers To Include
(up to 10)
.
Types
of Units
Include Roomshare Units?
Yes
No
List Rent Range
From
To (Please
Specify)
List Number of Bedrooms
From
To (Please
Specify)
List Only Units which accept Pets?
Yes
No
List Only Furnished?
Yes
No
Comments?
PLEASE
NOTE: Occasionally,
errors occur during the transmission of orders on the internet. If you
do not receive your listing by email or fax or otherwise hear from us within
FOUR hours (during our normal business hours), PLEASE CALL OUR OFFICE!
Electronic Signature Please
note: $25.00 service charge for all returned checks. By checking
The
check box below you give Express Rentals permission to draft this check.
<--This
is required or your order will not be processed I
understand that this is a check transaction, and by clicking this box,
I
authorize
Express Rentals to draft a check in the
amount
checked above in the SERVICE TYPE box.
Make sure you
make a note of this transaction in your checkbook. Banks will not honor
mulitple checks with the same check number, so be sure to void the check
you used for this transaction. This
is not an Electronic Funds Transfer. This check is processed the same as
your other checks.
Terms of Service:
This subscription
is good for new listings during time period registered for. Changes to
listing requirements are only done in the office with a receipt. If changes
are made after 15 days, additional fees may be charged. This receipt is
non-transferable, and must be surrendered upon demand for mis-use or abuse
(i.e., sharing of lists). Although diligent effort is made to keep listings
current, no guarantee is made that property is still available when given
to holder, or that holder will rent any properties on their listings within
requested time period. All returned checks are subject to collection fees.
EXPRESS RENTALS uses every possible source to obtain vacancies. Any errors
brought to our attention will be corrected. There is a $10.00 fee for lost
receipts. There will be NO REFUNDS unless agreed to in writing by EXPRESS
RENTALS at the time of purchase. Thank you!
Sign-ups are
processed within hours of receipt Monday
through Friday,
9:00 a.m. to 4:00 p.m.
As soon as your order
is processed, you will receive your first listing. Your listings can be
picked up at our office, emailed to you, or faxed to you.
If you have problems
sending this form, you may send all the required information via email,
or FAX it to us. We will contact you (typically within 4 hours).
