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Apartment Interest Application

Please complete all sections of this application form. All information provided will be kept confidential. A member of our leasing team will follow up to assist you with the rest of the application process.

Which apartment complexes are you interested in? (click all that apply)
Date of birth
Month
Day
Year

Current address

Current Address
Do you have pets?
How many bedrooms are you interested in? (click all that apply)

Majestic Arms

GALILEE SENIOR LIVING

1525 Sycamore Ave., Shreveport, LA 71103

123-456-7890

Galilee Senior Housing is committed to Fair Housing and does not discriminate against any person because of race, color, religion, national origin, sex, familial status, disability, sexual orientation, gender identity or any specific classes protected by applicable laws.

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