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Personal details
First Name:	*
Surname:
Cellphone Number:	*
Email Address:	*
Property Requirements
Suburbs looking:	*
Unit Type:	--select-- Flat / Apartment House Either *
Bedrooms:	--select-- Studio 1 2 3 4 5 6 *
Bathrooms:	--select-- 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0
Parking:	--select-- Garage required Garage nice to have Off street parking required Off street parking nice to have Not required
Pets:	--select-- Dog Cat Dog and Cat Other None
Other requirements:
Starting Date (1st of month):	*
Alternative starting date (if possible):
Rental Budget (maximum):	--select-- R4000 to R4500 R4500 to R5000 R5000 to R5500 R5500 to R6000 R6000 to R6500 R6500 to R7000 R7000 to R7500 R7500 to R8000 R8000 to R8500 R8500 to R9000 R9000 to R9500 R9500 to R10000 R10000 to R11000 R11000 to R12000 R13000 to R14000 R14000 to R15000 R15000 to R16000 R16000 to R17000 R17000 to R18000 R18000 to R19000 R19000 to R20000 R21000 to R22000 R22000 to R23000 R23000 to R24000 R24000 + *
Where did you hear about HOUSES4RENT:	--select-- Gumtree Cape Ads Google Friend Other Other:
	I have read the Terms and Conditions.

- Eloise Fortune

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