Rosevine Extended Stay

Lodging Application

Rosevine Extended Stay

416 Sunny Lane
Tyler, Texas 75702

903-592-2221

PowellPropertiesTexas@gmail.com

Applicant Information

This is a tenancy application. Approval is based on availability and if approved, a security deposit will be collected to secure your stay. This deposit is non-refundable before check-in but after check out is refunded less a processing fee as long as there are no damages or major cleaning needed.

First name*

Last name*

Email*

Phone number*

Alternate phone number

Street address*

City*

State/Region*

Zipcode*

Driver's License #*

Driver License State*

Date of birth*

Pets?*

Yes

Smoker?

Yes

Vehicle, Color, Plate Number (Separate each value with comma)*

Additional Guests? (List names and separate name by comma)

Room Requested

Select your 1st Choice (if available)*

Arrival Date*

Year/Month/Day

Departure Date*

Year/Month/Day

3rd Party/ Company Reservation Information

(optional)

Company name

Job Title

Work email

This is a tenancy application. Upon submission, we will contact you to confirm availability and/or your reservation. A signed lodging agreement and valid credit card will be required to confirm reservations. Please call us at 903-592-2221 if you have any questions in the meantime!