RESERVATION REQUEST FORM - PAGE 1 of 3

  • This is only a Reservation Request. You are under no obligation to accept a Reservation Confirmation from Newport Place Inc.
  • Your Reservation Request can be made twelve months in advance of your move-in date.
  • Two or more persons traveling together: Each resident is required to submit a seperate Reservation Request Form.

1. Contact Information
*First Name:
*Last Name:
* Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
* Email address:
* Telephone:
* Cell phone:
* Personal reference:
* Personal Reference's Telephone:

2. Personal information

Newport Place upholds the Federal Fair Housing Act, which makes it illegal to advertise any preference, limitation, or discrimination because of race, color, religion, sex, handicap, familial status, or national origin, or intention to make such preference, limitation or discrimination. All persons are hereby informed that units advertised on the website are available on an equal opportunity basis.
Passport ID # & country:
Government-Issued Photo Identification (Country, Type & Number):
*Date of Birth :    Month/Day/Year
* Gender: Male Female
Religion:
* Occupation:
School attending:   (if applicable)
Internship attending:   (if applicable)
While sleeping, prefer:
My cleanliness level:
My storage needs:
Additional needs or preferences: