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title Mr Mrs Ms Miss
first name *
last name *
email address *
password *
repeat Password
contact number *
are you interested in : Renting Buying
occupation
do you smoke? Yes No
do you have any pets? Yes No
time in current job months years
how many adults? 1 2 3 4 5+
how many children? 0 1 2 3 4 5+
Additional applicants 0 1 2 3 4 5+
applicant title Mr Mrs Ms Miss
applicant first name
applicant last name
applicant occupation
Time in current job months years
if there are more than 5 applicants, please use the box at the bottom of the form to fill in any addition details.
Combined salary band Not known Less than £10,000 £10,001 - £20,000 £20,001 - £30,000 £30,001 - £40,000 More than £40,000
lower price ------ don't mind ------ Up to £50,000 £50,001 to £75,000 £75,001 to £100,000 £100,001 to £125,000 £125,001 to £150,000 £150,001 to £175,000 £175,001 to £200,000 £200,001 to £250,000 £250,001 to £300,000 £300,001 to £350,000 £350,001 to £400,000 £400,001 to £450,000 £450,001 to £500,000 More than £500,000
upper price ------ don't mind ------ Up to £50,000 £50,001 to £75,000 £75,001 to £100,000 £100,001 to £125,000 £125,001 to £150,000 £150,001 to £175,000 £175,001 to £200,000 £200,001 to £250,000 £250,001 to £300,000 £300,001 to £350,000 £350,001 to £400,000 £400,001 to £450,000 £450,001 to £500,000 More than £500,000
lower price ------ don't mind ------ Up to £400 p.c.m. £401 to £450 p.c.m. £451 to £500 p.c.m. £501 to £550 p.c.m. £551 to £600 p.c.m. £601 to £650 p.c.m. £651 to £700 p.c.m. £701 to £750 p.c.m. £751 to £800 p.c.m. £801 to £850 p.c.m. £851 to £900 p.c.m. £901 to £950 p.c.m. £951 to £1000 p.c.m. £1001 to £1050 p.c.m. £1051 to £1100 p.c.m. £1101 to £1150 p.c.m. £1151 to £1200 p.c.m. £1201 to £1250 p.c.m. £1251 to £1300 p.c.m. £1301 to £1350 p.c.m. £1351 to £1400 p.c.m. £1401 to £1450 p.c.m. £1451 to £1500 p.c.m. More than £1500 p.c.m.
upper price ------ don't mind ------ Up to £400 p.c.m. £401 to £450 p.c.m. £451 to £500 p.c.m. £501 to £550 p.c.m. £551 to £600 p.c.m. £601 to £650 p.c.m. £651 to £700 p.c.m. £701 to £750 p.c.m. £751 to £800 p.c.m. £801 to £850 p.c.m. £851 to £900 p.c.m. £901 to £950 p.c.m. £951 to £1000 p.c.m. £1001 to £1050 p.c.m. £1051 to £1100 p.c.m. £1101 to £1150 p.c.m. £1151 to £1200 p.c.m. £1201 to £1250 p.c.m. £1251 to £1300 p.c.m. £1301 to £1350 p.c.m. £1351 to £1400 p.c.m. £1401 to £1450 p.c.m. £1451 to £1500 p.c.m. More than £1500 p.c.m.
bedrooms don't mind 1 2 3 4 5+
location ------ don't mind ------ Brighton Burgess Hill Falmer Hassocks Hove Kemptown Brighton Lewes Newhaven Peacehaven Portslade Rottingdean Saltdean Shoreham-by-Sea Southwick Worthing
type of property Don't mind Conversion Purpose built
close to station Don't mind Yes
seaview Don't mind Yes
outside area Don't mind Yes
parking Don't mind Yes
furnished Don't mind Yes No
length of tenancy Don't mind 6 months 12 months long term
when do you want to move? ------ don't mind ------ As soon as possible Now - 2 weeks' time 2 - 4 weeks' time 4 - 6 weeks' time 6 - 8 weeks' time
additional details
email me with details of properties that match my requirements in the future? Yes No
information for tenants
20 Western Road, Hove, East Sussex, BN3 1AE. 
01273 324535. 
01273 324141.