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London House
  
Tenant Enquiry Form
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Please complete our confidential application form. This information does not form part of any agreement and only enables us to search our records for any possible suitable accomocation. 

*indicates required fields 
  *Name:
  *Address:
  *Post Code:
  *Email:
  Phone:
  *Names & ages of prospective occupants:
  *Do you have any pets?:  Yes
 No
  *Do you or any other propective tenants smoke?:  Yes
 No
  *Are you employed?:  Full time
 Part time
 Temporary contract
 Unemployed
  *Will you be receiving Housing Benefit?:  Yes
 No
  *Type of property required:  Flat
 Bungalow
 House
  *No. of bedrooms required?:  1
 2
 3
 4 or more
  *What location do you require?:
  Do you have any special requirements? eg disabled:
  Do you have any further coments?:
  What is your price range?:

Thank-you for completing our enquiry form. Please be assured that it will be treated as strictly confidential, we will not discuss any information that you give us with any other person or agency without your prior agreement.
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