Application for ASE Holdings LLC
Please complete application.  Funds will only be accepted once room has been viewed.  Before proceeding, please be sure to have your last 5 years of residential history, contact information for two personal contacts, one emergency contact.  
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Email *
Which location? *
I understand that I must stay a minimum of 1 month and then I can either continue to pay by the month or at a weekly rate which is monthly x .30 *
I can stay for as long as I want, assuming that I am not asked to leave, but I am intending on staying for: *
Full Name *
Date of Birth *
MM
/
DD
/
YYYY
Home Phone Number (Enter n/a if none) *
Cell Phone Number *
Social Security Number *
Email Address ( can use someone else's if you don't have one)
Driver's License / Identification Card Number and Expiration Date *
Convicted of A Crime *
Required
If Yes, Explain
Do you smoke cigarettes or cigars? (not 420 friendly) *
Do you understand pets/animals are NOT accepted? *
Why are you leaving you current residence? *
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