Request form - CityArk AparthotelCityWest Aparthotel Request form Personal information Full Name ( First and Second Name ) * Phone number * Email Address * Type of Room * Standard Double RoomSuperior Double/Twin Room Ideal moving in date * Are you fully employed * Yes NoAre you beneficiary of the House Assistance Payment Scheme ( HAP ) * Yes No*If yes, please note that the building does not have a fully equipped kitchen which is one of the requirements for the HAP to be applicable.Will you require a parking space ? * Yes NoWould you like to do a video call to see the property ? * Yes, Please contact me to arrange a video call where I can see the rooms, location, etc...Due to Restrictions we are not currently organising physical viewing ! We will give you a call when we have an updateCovid-19 Declaration * I hereby declare that I have no symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness or flu like symptoms now or in the past 14 day.Covid-19 Declaration * I hereby declare that I have not been diagnosed with a confirmed or suspected Covid-19 infection in the last 14 days, and that I have not been in close contact with a person who is a confirmed or suspected case of Covid-19 in the past 14 days.Covid-19 Declaration * I hereby declare that I have not been diagnosed with a confirmed or suspected Covid-19 infection in the last 14 days, and that I have not been in close contact with a person who is a confirmed or suspected case of Covid-19 in the past 14 days. Any questions/comments you have You can suggest a different time, tell us about your self, etc... Yes, I want to receive emails about new services, offers, and promotion related to City West Aparthotel and City Break Apartments Group. I can withdraw my consent at any time Submit CONTACT DETAILS USEFUL LINKS OTHER PAGES OUR NEWSLETTER Name Please enter your name. Email Address Please enter a valid email address. Subscribe! Thanks for subscribing! Please check your email for further instructions.Something went wrong. Please check your entries and try again.Share82ShareWhatsApp82 Shares