Client Requirement Form

	
Contact Details
	
	Name		
	
	Address		
			
			
				
	Telephone	
	
	Email 		
	
	
Property References

	Please tell us any property references on our web site that may be of interest

	

	
Location
	
	Region(s) of Interest 
	
	
	
	
Price range
	
	Price Minimum (€)	
	
	Price Maximum (€)	
	
	
What kind of property are you looking for?
	
	Chateau/Manor House
	Country House/Cottage
	Farmhouse
	Town House
	Apartment
	
	Other (please specify) 
		
	
	
	Number of bedrooms	
		
	Outbuildings		
		
	
Type of Locality
	
	Town
	Village
	Country
							
	
Condition of Property
	
	Good
	Habitable
	For renovation

	
Land area
	
	please specify
	
	
	
	
Plans for next visit to France
	
	Date of departure	
	
	Duration		
	
	
Any Other Comments