RentAble Participant Pre-screening

Contact Information

CoC LOGOUW Logo
If you have any questions about filling out this form or about RentAble, please call 269-250-9836 or rentable@uwbckr.org.

Last Name
.
First Name
.
Phone Number
.
Email
.
Current Address Line 1
.
Address Line 2
.
City
.
State
.
Zip
.
What is your preferred contact method?
.
Summary
Progress: 0%

Status: New Response
.