Umbriaforyou

INFO
* Name:		*Surname:
* Address:		* City:
* Province:		* Postcode:
Country:		* Home phone number (include area code):
* Office phone number (include area code):		* Mobile phone number (include area code):
* E-mail address:		web-site:
* compulsory fields

AT WHAT TIME SHOULD WE CALL? (your local time)
	9 - 12
	12 - 15
	15 - 18
	I PREFER TO BE CONTACTED ONLY BY E-MAIL

HOW DID YOU LEARN ABOUT OUR WEBSITE?
	From Internet	WHICH WEB SITE?
	From Magazine	WHICH ONE?
	From a friend	WHO?
	Other	WHO/WHAT?
Did one of our foreign agents advise you to fill in this form? who?

* TYPE OF REQUEST
	TRADITIONAL FARMHOUSE IN UMBRIAN/TUSCANY STYLE
	CASTLE/ CONVENT/ PALACE
	VILLA
	FLAT/APARTMENT
REGION OR AREA THAT YOU PREFER

* WOULD YOU LIKE IT...

FURNISHED

UNFURNISHED

* This section is necessary to make a selection of properties that we have for long term lease and get closer to your expectation.

* HOW MUCH WOULD YOU LIKE TO SPEND PER MONTH? (euros)

* HOW FAR FROM VILLAGES WOULD YOU STAY? please specify here the distance from the nearest neighbours or shops etc. (please tick off one or more than one box)
	1 - BETWEEN 0 AND 1 Km. (outskirts of a village or nearby it - walking distance - poor privacy)
	2 - BETWEEN 1 AND 3 Km. (near village country side- use of a vehicle may be necessary - good privacy)
	3 - MORE THAN 3 Km. (far and remote or with some distant neiburoughood but still with an excellent privacy)
	4 - OVER THAN 3 Km. (far with a lot of unmade road - it is necessary the use a jeep - extreme privacy)

* WOULD YOU LIKE TO COME AND SEE THE PROPERTY BEFORE RENTING? IF SO, WHEN?

(please specify dates) (dd/mm/yy)

PLEASE WRITE HERE, ANY ADDITIONAL DETAILS THAT YOU CONSIDER USEFUL OR ESSENTIAL FOR THE RESEARCH