CUSTOMER DETAILS

Last name

 Phone (work)

First name

 Phone (mobile)

Nationality

 Fax

Languages

 E-mail

SERVICE DELIVERY DATE

Date

Room #

Time

Phone

Hotel's name

Fax

# of adults

# of children

OPTION

6 hours tour

8 hours tour

WOULD YOU LIKE TO RECEIVE GENERAL INTRODUCTION TO:

Banks

Your country's embassy

Shopping centres

Recreation facilities

Schools

Public trasportation

Madical centres

Places of workship

Parks

Museums

Other

WOULD YOU LIKE TO RECEIVE GENERAL INTRODUCTION TO:

A. House

or apartment

B. Furnished

or unfurnished

C. City

or suburb

D. Older development

or new development

ADDITIONAL INFORMATION

CUSTOMER DETAILS

Last name

Phone (work)

First name

Phone (home)

Age

Phone (mobile)

Nationality

Fax

Citizenship

E-mail

Languages

COMPANY DETAILS

Name

Address

City

FAMILY DETAILS

Spouse

Companion

Last name

Nationality

First name

Citizenship

Age

Languages

CHILDREN

Last name

First name

Age

Nationality

Languages

PETS - PLEASE LIST ANY PETS (INCLUDING WEIGHTS IF DOGS OR CATS)

2.

3.

SERVICE DELIVERY DATE

Date

Telephone

Time

Fax

Hotel

# of adults

Room #

# of children

PRESENT ACCOMODATION

A. City

Suburb

B. House

Apartment

C. # of bedrooms

Area

m ²

ACCOMODATION NEEDED

A. Buying

Renting

B. Furnished

Unfurnished

C. House

Apartment

D. City

Suburb

E. Older development

New development

Garden

# of garages

Min. # of bedrooms

Min. # of bathrooms

Min. Area

SQ M

SQ Feet

TERM OF LEASE

Months

12

24

Other

MAXIMUM COMMUTE TIME

minutes

Is proximity to shopping areas important?

Is proximity to schools important?

Is proximity to public transport important?

BUDGET

Monthly budget

Lease will be in :

Company name

Customer name

Rent will be paid:

by company

by customer

ADDITIONAL INFORMATION, SPECIAL REQUEST, COMMENTS

CUSTOMER DETAILS

Last name

Phone

First name

Mobile

Nationality

Fax

Languages

E-mail

CHILDREN DETAILS

1. Name

Age

Languages

Education level

2. Name

Age

Languages

Education level

3. Name

Age

Languages

Education level

ARE YOU INTERESTED IN

Public schools

International schools

DO ANY OF YOUR CHILDREN HAVE SPECIAL NEEDS THAT WE SHOULD KNOW ABOUT?

ARE THERE ANY ACTIVITIES, ARTS OR SPORTS THAT YOUR CHILDREN ARE INVOLVED IN?

1. Name

Activity

2. Name

Activity

3. Name

Activity