Application Form: SHORT STAY STUDIOS

1. Your Name

2. Your Email Adress

3. Your Phone number

4. Your Full Adress

5. Date of Birth

6. Please Upload Your Copy of ID [pdf only]

7. Are you
StudentWorking
8. Study Program / Job

9. Please Upload Proof of Enrollment/Income [pdf only]

10. Desired Duration of Stay (other options NOT possible)
—Kies een optie—Jan 1 - June 30Feb 1 - July 31March 1 - July 31
11. Desired Building (not guaranteed)
—Kies een optie—No PreferenceThe ElementsLage Barakken
12. Extra's (Please note: All-In Rent: €1095 p/m)
!! ONLY PREMIUMS/UNITS WITH GARDENS LEFT !!
Premium (two people) + €155 p/mPrivate Garden + €100 p/m
13. Bedding and Towels
—Kies een optie—Not Interested- Bedding (Regular €99 / Premium €139)- Towels (€49)- Combi Pack *bedding and towels* (Regular €139 / Premium €179)
14. Special Requests

I have read and agreed with Green Housings Privacy Policy (see: our policies)

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