Application Form

PERSONAL DETAILS - APPLICANT NAME SURNAME ADDRESS CITY POSTAL CODE COUNTRY PHONE NUMBER E-MAIL ADDRESS DATE OF BIRTH MARRIED/SINGLE OCCUPATION NAME OF EMPLOYER NET MONTHLY INCOME OTHER REGULAR INCOME   Please indicate your interest, question, or comments: TELL US ABOUT THE PROPERTY BEING PURCHASED PROPERTY STREET NAME CITY POSTAL CODE TYPE OF MORTGAGE? Repayment Interest Only Quote both please DETAILS OF PROPERTY New Resale PURCHASE VALUE (currency) REQUESTED LOAN AMOUNT (currency) REQUESTED LOAN PERIOD Years: 10 15 20 25 30 35 40 WHEN DO YOU EXPECT TO COMPLETE YOUR PURCHASE? PERSONAL DETAILS - SECOND APPLICANT NAME SURNAME ADDRESS CITY POSTAL CODE COUNTRY PHONE NUMBER E-MAIL ADDRESS DATE OF BIRTH MARRIED/SINGLE OCCUPATION NAME OF EMPLOYER NET MONTHLY INCOME OTHER REGULAR INCOME Additional services HOW DID YOU HEAR ABOUT US?   Alta Vista Aol Search Ask Jeeves Estate agent Magazine Mirago Search Lycos Search Google Search Yahoo Search MSN Search Referral UK Fish4 Everything Spain Other - WOULD YOU LIKE INFORMATION ABOUT YOUR CURRENCY NEEDS? Yes No - WOULD YOU LIKE TO BE CONTACTED BY ENGLISH SPEAKING SOLICTOR IN SPAIN? Yes No -      Submit If you are using HOTMAIL, it might be our reply will appear in your junk mail folder.