Landlord Registration
YOUR DETAILS * required fields
Company: (if applicable)
Title:		Mr Mrs Ms Dr
First Name:		*
Last Name:		*
House Name/Number:		*
Street:
Town/City:		*
County:		*
Postcode:		*
E-mail:		*
Telephone:		*
Fax:
Web site URL:
NEXT
PROPERTY DETAILS
Property Type:		Please select Type of property Room Only Studio Flat Masionet Bungalow House *
Number of Beds:		Please select number of Beds One Two Three Four Five Six More than 6 *
Furnishing:		Please select Furnishing ____________________ Un-Furnished Part Furnished Fully Furnished *
Rental:  (anticipated minimum)		Period ___ Per Week Per Month Per Quarter *
Deposi: (prefered value):		Please select a deposit No deposit One Weeks rental Four weeks rental One Months rental One and a half months rental Two Months rental Two and a half Months rental Three Months rental *
Location:		Please select an Area ____________________ THAMES VALLEY Bracknell Henley-on-Thames Newbury Maidenhead Reading Slough Twyford Wokingham ____________________ CENTRAL SOUTHERN Aldershot Basingstoke Guildford Southampton Portsmouth ____________________ EAST MIDLANDS Derby Nottingham Ilkeston Heanor Awsworth Codnor Ripley ____________________ Other area, not listed *
Pets (allowed; select ALL that apply):		NONE  CATS  DOGS  CAGED BIRDS  ANY
Smoking:		Smoking No Yes *
Date Available:		Day ___ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month ______ January February March April May June July August September October November December Year ____ 2005 2006 *
Tenant Status accepted (select ALL that apply):		PRIVATE TENANT YES NO *
		DHSS TENANT  YES NO *
COMPANY LET YES NO *
Tenant Empolyment Status accepted (select ALL that apply):		EMPLOYED YES NO *
		STUDENT YES NO *
RETIRED YES NO *
UN-EMPLOYED YES NO *
SERVICE REQUIRED
Select service		LET 4 FREE - FULL SERVICE RENT PAID GUARANTED - FULL SERVICE FULL SERVICE TENANT FINDING ONLY SERVICE PREMIUM SERVICE ONLINE SERVICE TENANT FINDING *
For multiple properties, we shall take details from you when we call.  Alternatively telephone us on 0870 7466 120.

LETS HOME PROVIDERS   T:0870 7466 120   F:0870 745 9493