Personal Information Title First Name Last Name Address City County Postcode Country Telephone Mobile Email Property Requirements house flat commercial land Property type sought Ideal area (i.e. city centre) rent purchase Do you want to Rent or Purchase? 1 2 3 4 Number of Reception Rooms? 1 2 3 4 Number of Bedrooms? 1 2 3 4 Number of Ensuites? yes no With Gardens? yes no With Garage? Additional Information Your Approximate Budget Rental -- Required By Date How did you hear about us? To Sell On Market Funds Available Loan To Arrange (DDC) Purchase / Status Contacting You Contact you by: Telephone Post Email Best time to contact you? (a prompt response guaranteed)