Landlords: Email registered estate & letting agents in West Bromwich
your interest in marketing your property to let in this area

Please fill in the fields below. Fields marked with the red asterisk * must be completed.

SECTION 1: YOUR CONTACT DETAILS

Title *	"; Mr Mrs Ms Miss Dr
Your First Name*
Your last (Family) Name*
Your Email Address*
Please Repeat Your Email Address*
Your Landline Telephone No. (optional, but best to give it)
Your Mobile No. (optional, but best to give it)

SECTION 2: YOUR PROPERTY

";

Location of your property: City	$ag_city
Location of your property: Area	$ag_area
Rent Required, per month	£ pw
No. of Bedrooms in your property (Studios, Bedsits, Rooms = 1)	0 1 2 3 4 5 6+
Type of Property	Any House Flat Studio

SECTION 3: SOME ADDITIONAL INFORMATION

";

Do you require a property management service from the agent?	Yes No
Max No of Tenants you wil allow? (this may also be dictated by legal requirements, eg under HMO regulations)	1 2 3 4 5 6+
Will you allow smokers?	Yes No
Will you allow pets?	Yes No
	IP Address		$eir_ip0
Comments: Extra Information about yourself or what you require:
Please confirm that you are a humanoid before clicking 'submit' *	I am a humanoid
The information you provide on this form will be sent to agents in West Bromwich with a copy to PropertyFoyer.com, who will use it for statistical purposes only to monitor their site traffic.
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