RESERVATION REQUEST FORM - PAGE 1 of 3

  • This is only a Reservation Request. You are under no obligation to accept a Reservation Confirmation Email from Old Town Place.
  • Your Reservation Request can be made twelve months in advance of your expected arrival date in San Diego.
  • Friends, Couples and Groups traveling together. Each Resident is required to submit a separate 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:
Fax:

2. Personal information

Old Town 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:
* Driver's license number & country:
Age:
* Gender: Male Female
Religion:
* Occupation:
If applicable:
School attending:
Internship attending:
* Sexual orientation:
* Smoking:
* While sleeping, I am ok with:
* My cleanliness level:
I have a laptop computer: Yes No
* List your storage needs:
I have a bicycle: Yes No
Additional personal information: