1. Contact Details:

Name           
Post Address 1  
             2  
             3  
Country         

Tel             
Fax             
Email address  


2. Area of Interest:

     South: Cote d'Azur, Provence
     South West: Pyrenees, Gascony, Lot, Dordogne
     West: Loire 
     North: Normandy
     Paris (here is our specific Paris Requirement Form)


3. Type of Property:

     Flat
     Villa
     Mas / Bastide
     Manor / Maison de Maitre
     Chateau
     Vineyard/Estate


4. Accommodation:

     Number of Reception Rooms
     Number of Bedrooms 
     Outbuildings
     Amount of Land Required


5. Time Scale:

     Visit Dates
     Purchase Date


6. Special Requirements:

     


7. Budget in Euros: