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ENTER PERSONAL INFORMATION AND PROPERTY REQUIREMENTS:
Title:
Mr
Mrs
Ms
Dr
Forename:
Surname:
House Name/No:
Address 1:
Address 2:
Town/City:
Postcode:
Home Phone Number:
Mobile Phone Number:
Email:
Property Type:
Detached House
Semi-Detached House
Link Detached House
Detached Bungalow
Semi-Detached Bungalow
Terrace House
Flat
Number of Bedrooms:
1
2
3
4
5
6+
No. of Occupants (enter no):
Min Price:
No Min
Max Price:
No Max
Best way to contact you:
Phone
Post
Email
SMS
Comprises (please state):
Entrance Hall
Lounge
Kitchen
Dining Room
Guest WC
Utility Room
Conservatory
Study
Bathroom/Shower Room
En-Suite
Gas Central Heating
Electric Heating
Double Glazing
Gardens
Off Road Parking
Garage
Pets:
yes
no
Housing Benefits:
yes
no
Smokers:
yes
no
Furnishings (please select):
Fully Furnished
Part Furnished
Unfurnished
Additional Information:
You consent to be contacted:
Please tick
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