full names:

email address:

home telephone :

mobile telephone:

age:

gender M/F:

employment staus

 

smoker Y/N:

any County Court judgments Y/N:

lenth of tenancy required (the Term in months):

able to pay holding fee £100 Y/N:

able to pay 2 months in advance on signing Y/N:

earliest date can pay rent & sign AST 00/00/0000:

select houses you wish to view:

(ctrl or cmd select) for multiple viewings)

rooms you wish to hold now (house/price):