First Name:     Last Name:  
Phone Number:     Fax Number:  
Email Address:     Employer:  
Number of Occupants:     Pets:(What kind and size?)  
When are you needing an apartment?     Number of Bedrooms:  
How did you hear about us?     Please specify other here:  

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 The Fountains
 38300 30th Street East
 Palmdale, CA 93550
 Phone: (661)273-4757  Fax: (661)273-0579
 Email: thefountains@amcllc.net
 Website: www.thefountainsapts.com