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First Name Home Phone no.
Surname Office Phone no.
Address
Rental Value £400-500 £600-700 £700-800 £800-900
£900-1000 £1000+
Size of Property 1 Bedroom 2 Bedroom
3 Bedroom 4 Bedroom
5+ Bedroom
Preferred Area
Date required Duration
Pets Smokers Children Garden En suite Garage
Furnished Unfurnished
E-mail address
