This form does not constitute an agreement for us to market your property.  By registering the full details of your retirement property we will be able to send you our information pack.  This will include detailed information regarding our various services, the types of tenancies available and recommended rent levels.  If this is satisfactory, only then will an agreement be drawn up for Girlings to market your property.

• Please provide the following contact information:

  First Name		Home Phone
  Last Name		Office/Work Phone
  Middle Name(s)		FAX
  Title		E-mail
  House Name or Number
  Street
  Town
  County
  Postal Code
  Country

   

• Please provide the following details for the property you wish to let: 

  Property Number		Floor/Type	Pick from list Bungalow Cottage Lower Ground Ground Upper Ground First Second Third Fourth
  Development		Aspect	Pick from list North South East West
  Town		Capital Value
  Post Code		Annual Service Charge
  Managing Agents		Annual Ground Rent
  For Sale?	Yes  No	Council Tax Band	Pick from list A B C D
  Bedrooms	One  Two  Three	Annual Council Tax
  Inclusive Water Rates?	Yes  No
  Mortgage?	Yes  No

Would you object to a tenant who has pets?    Yes  No

Would you object to a tenant who smokes?     Yes  No

Please tick any of the following boxes which apply to the property. 

Note: BI = Built In,  FS = Free Standing.

• Please describe any other distinguishing features (e.g. garden views)

• Please tick this box if you have read and agree to the terms in the section regarding data-protection.   (You can read the relevant section by clicking here, use your browser's back button to return to this form).