Quality Lodging in Iowa and Western Illinois with Customized Amenities - Easy Living Apartments

Contact Information Form

  • Please contact us early so we can be sure to have your apartment ready when you need it.
  • There are a few things we'll need to know to get you the right apartment and provide just what you want. Please let us know what types of services, furnishings, or other special accommodations you require.
  • Complete this simple form. Click on "Submit" when ready to send.
Your Name:
E-mail Address:
Phone Number:
Current Location - City/State:
Best Day to Call:
Best time:
Time Zone:
What town do you want to live in?
Would you like it to be near a particular location?
Your approximate date needed and preferred length of stay:
What size unit do you need?
Services:
Utilities
Local phone
Cable 70 Channel or Digital
High Speed Internet
Furnishings:
A-level
B-level
How many beds? What sizes? (single, full, or queen)
Place settings for:


Special Accommodations
How many people will live there?
Is it a family, a crew or other?


Will you or your company be responsible for the agreement?

If company, please give company information:
Smoking Preference


Any pets? Please describe them.
Do you have a budget range that you want to stay within?
Other comments / questions:


Phone: 319.752.2074
Easy Living Apartments
www.ezlivingapartments.com