Questionnaire
Personal Details:  
   

Full Name:
(Incl. Mr./Mrs./Ms. etc.)

 
Home Address :
(Incl. Postal Code)


Contact details:  
   
Home Phone :
(Incl.Country Codes)
Mobile:
(Incl.Country Codes)


Fax :
(Incl.Country Codes)


Email:
 
Reasons for Purchase or Rental
 
Residential Holiday use To let out
Summer Winter Year round
Location
 
East Funchal Above banana line 300m
West Rural Below banana line 300m
Type
 
House Apartment Land to build
Accommodation
 
How many bedrooms Garden
How many bathrooms Swimming pool
Budget
 
£100-150k £150-200k £200-250k
£250-300k £350-400k £400k upwards
Financial Situation
 
Do you have property to sell Do you need mortgage facilities
Can you buy without selling Can you view at short notice
How many recent visits to Madeira
 
None One Two Three More
How did you hear of us?
 
 

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