Application Form

 

Kindly copy this table, paste it to your E Mail, complete and send, alternatively copy it to your word processor, complete it and fax it to (021) 5722314

Full names

Full address

Identity Number

Telephone Number - Home

Telephone Number - Work

Telephone Number - Cell

Type of accommodation required:

House, flat, self catering, not self catering

Amount of people

Area eg. Melkbosstrand, Blouberstrand, Cape Town, other

Special requirements eg. Garage, Pool, Jacuzzi

Period required

Smoking, Yes or No

Pets, Yes or No

Beachfront, Sea Views

Budget per day

R

Maids quarters

Other instructions

Home

 

     Viljoen Jordaan & Nell       

Attorneys, Notaries , Conveyancers & Realtors

Prokureurs, Notarisse , Aktebesorgers & Eiendomsagente

 

Tel: (021) 553 4748 or (021) 5721023