Resident Referral Form

When a current resident refers a friend to Bethesda Place they receive a $250.00 referral fee. **

**The referral has to move-in and sign a 12 month lease. The referral fee is only given per apartment not to each person that signs a lease and moves in.

All information is securely encrypted and kept strictly confidential.


* Note - All fields are required

Current Resident (Leaseholder) Names:

Current Resident Address:

Building Number:

Apartment Number:

Current Resident (Leaseholder) SSN/Passport Numbers (for billing purposes):

Name of the Person You Are Referring:

Referral's Move-In Date:

Name of the Leasing Consultant
who Assisted You: