Applicant Registration

Full name: * DOB: How did you hear about us? Please Select Chronicle & Echo Mercury RightMove UTC Property Net Yellow Pages Google Word of Mouth Seen boards Passed shop Address: * * Post Code: Daytime telephone: Mobile: Email: * Employment: Please Select Self-employed Full time employed Part time employed Agency Contract Type: Please Select 6 months Permanent Number of tenants to live in the property: Do you have a house to sell? Please Select Yes No If "Yes" when is your exchange date? Please Select Within 2 weeks Within 4 weeks Within 6 weeks Within 8 weeks Currently I am living: Please Select In rented accommodation With friends With family If "Yes" when is your exchange date? Please Select Within 2 weeks Within 4 weeks Within 6 weeks Within 8 weeks Price Range: Please Select £300 - £400 £400 - £500 £500 - £600 £600 - £700 £700 - £800 £800 - £900 £900 - £1000 £1000 plus Bedrooms required: Please Select 1 2 3 4 5 6 More Property type: Please Select Apartment Detached Semi-detached Bungalow Terrace Locations: Furnishings: Please Select Furnished Unfurnished Either Smoker: Please Select Yes No Pets: Please Select Yes No If "Yes" the please give details: Children: Please Select Yes No If "Yes" please state how many: Parking Required: Please Select None required Yes - Garage Yes - Driveway Yes - Off Road Yes - Street Garden Required: Please Select Yes No Length of tenancy: Please Select 6 months 12 months More than 12 months