Resident Success™ Payment (Preliminary)

Name

First

Last

Email

Phone Number

Number of Units

Number of Units that will be surveyed. *If you are choosing “Prime” and you have over 1000 units then you will be charged the additional fees per unit via your payment option. If you are choosing “Premium” and have over 3000 units then you will be charged the additional fees per unit via your payment option.*

Number of Locations

Address (Location 1)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Checkboxes (Location 1)

Check this box if this location is a new build or recently remodeled so there are no residents currently living at location.

Check the boxes for the size of units at this location. (Location 1)

1 bedroom
2 bedroom
3 bedroom
4 bedroom

Do you service any of these specialty communities at this location? (Location 1)

Address (Location 2)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Checkboxes (Location 2)

Check this box if this location is a new build or recently remodeled so there are no residents currently living at location.

Check the boxes for the size of units at this location. (Location 2)

1 bedroom
2 bedroom
3 bedroom
4 bedroom

Do you service any of these specialty communities at this location? (Location 2)

Address (Location 3)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Checkboxes (Location 3)

Check this box if this location is a new build or recently remodeled so there are no residents currently living at location.

Check the boxes for the size of units at this location. (Location 3)

1 bedroom
2 bedroom
3 bedroom
4 bedroom

Do you service any of these specialty communities at this location? (Location 3)

Do you house those with a criminal background?

Yes
No
Case by Case Basis

Do you house those with evictions or debts owed?

Yes
No
Case by Case Basis

Do you have income requirements? If so, add them here. If not, then type "N/A".

Website / URL

This will be utilized to allow new residents to apply for your location.

Logo Upload

Click or drag files to this area to upload. You can upload up to 2 files.

This will be utilized to be on our public facing website and other documents. *By submitting this image (or images) you are giving permission to allow B-Konnected, LLC to use these images.*

Image Upload

Click or drag files to this area to upload. You can upload up to 10 files.

This is to upload images of your building or location that will be utilized to be on our public facing website. *By submitting this image (or images) you are giving permission to allow B-Konnected, LLC to use these images.*

Comment or Message

Pricing Options

Prelimiary (Annual Fee for Up to 400 Units Included) – $1,500.00

Additional Fee for Units over 400 (Preliminary)

Price: $0.00

$6 Per Unit over 400

Subtotal

Price: $0.00

Discount Code

Discount Amount

Price: $0.00

Payment Options

Credit Card
ACH

Credit Card Fee

Price: $0.00

Total Amount Due

Price: $0.00

Includes all pricing and fees.

Stripe Credit Card

ACH Payment Information

In order to process your ACH payment for your Resident Success™ purchase, we ask that you provide the following below information. Please note that this payment may take 3-5 business days to show up in your account.

Bank Account Number

Routing Number

By checking this box you have read and agree to the Terms and Conditions.

By checking this box you acknowledge you have read and agree to the Terms and Conditions & Privacy Policy.

Custom Captcha

8 + 11 =

Resident Success™ Payment (Preliminary)

Resident Success™ PrelimiNary Form

ACH Payment Information