1. Name *
2. Address *
   Home Address
3. Post Code *
4. Telephone *
5. Email  
6. Type of property  
   Detached Semi-Detached Mid-Terraced End-Terraced House Bungalow Maisonette Flat Studio-Flat
7. Approximate Age of property  
   Pre 1800 1800-1900 1901-1930 1931-1960 1961-1990 1991-2006 2007-Present day
8. Number of storeys  
   1 2 3 4 5 6 7 8 9 10 More than 10
9. Number of rooms  
   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 More than 15
10. Purchase price  
11. Message *
12. Security Code: *
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13.  

Southern Surveyors
119 George V Avenue
Goring by Sea
Worthing
BN11 5SA