Life Style Inc.

800.676.6505 507.451.8524 Fax 507.451.5459 TDD 507.451.0704

Fill Out The Form To Receive An Application.

All Fields With A (*) Must Be Completed

Applicant's Full Name: *

Street Address: *

City: *

State: *

Zip Code: * (Five Digits Only - Example: 55060)

Telephone Number: * (Ten Digits Only - No Spaces Or Dashes - Example: 5074518524)

Fax Number:
Check this box if you would like the application faxed to the above fax number
instead of being mailed

Email Address:

Number Of Bedrooms: *

Select From the Menus Below Each Property You Would Like To Receive An Application For.
You May Select One Property From Each Of The Five Menus.
You Must Select At least One Property From The First Menu.

After you have filled out the form, click on the Submit button below and we will mail or fax you an application shortly.

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Please contact Life Style, Inc. to verify.

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