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Please complete the form below.

Company/Organization: *

First & Last Name: *

Company Email (Or Best): *

Office Phone # (Or Best): *

Property Address: *

Unit Type (STR/MTR/Boutique): *

Beds/Baths: *

Travel Nurse Available? *

Yes

No

Furnished? *

Yes

No

Availability Start Date: *

Current Platforms: *

Notes:

Accept Agency Contracts? *

Yes

No

Title/Role:

Website Listing URL:

Portfolio Link:

Check the box below to consent to the Terms & Conditions. *

I consent to the Terms & Conditions.

Authorization

I hereby authorize Naria LLC to list this property on its platform and affirm that the information provided is accurate.

Date: *

Signature: *

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