Rental Intake Form Getting to Know You Thank you for your interest in our fully furnished historic 1870 farmhouse rental! Please tell us a bit about yourself so we can ensure this is the perfect fit for your stay. This is simply a rental inquiry, not a formal application. Full Name: Email Address: Phone Number: Preferred Move-In Date: Expected Length of Stay: Number of Occupants: What brings you to Bellbrook? Do you have any special requests or needs? Submit