Full Name and Address Name: Address: City: State: Zip: E-mail:
Contact Phone Numbers Home: Fax: Work: Cell: Aditional:
Occupancy / Bedroom Info Max. Occupancy: Number of Bedrooms: Type of Beds Flr: 1. BR: 2. BR: 3. BR: 4. BR: 5. BR: 6. BR: 7. BR: 8. BR:
House Details Year Built: Year Renovated: Distance to Town: Distance to Beach:
Property Info Location: Brant Point Cisco Cliff Dionis EastOfTown Madaket Miacomet Mid-Island Monomoy Nashaquisset Naushop Pocomo Polpis Quaise Quidnet Sconset Shawkemo Shimmo Squam Surfside Tom Nevers Town Cisco Town Wauwinet West Of Town Prop. Address: House Name: Phone No.: Fax No.:
Property Description Information First Floor Description: Secon Flor Description: Other Description: Other Comments:
House Care Information Name: Phone: Caretaker: Cleaner: Plumber: Lawncare: Appl Repair: Name: Trash P/U Days: Trash P/U: Name: Cleaning Hrs.: Cleaner Cel.: Waterfront Walk to Water Waterview Water Keys/Alarm Yes No Alarm Code wifi password:(to access wireless internet)
House Amenities ( check box for yes ) Washer Pool 2nd Phone Line Ans Machine High Chair Dryer Fans Bedroon Blinds Bicycles Consider Pets Dishwasher Air Conditioning Toaster Beach Towels HighSpeed Internet Microwave Useable FPs Coffee Maker Beach Chairs Radio Disposal Woodstove Lobster Pot Cooler CD Player Stove Heat Mixer BBQ Color TV Deck Sofabed Food Processor Flashlights Cable/Sat. TV Patio Yard Blender Grill VCR Porch Patio/Deck Furn Iron Vacuum Stereo Jacuzzi DVD Ironing Board Crib Smoking Other:
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