Section 1 - About You

First name:

Last name:

Preferred name:

Mobile number:

Email address:

Confirm email:

Section 2 - Your Friends

If you have a group to share your house, please enter how many of you there are:

Number of girls:

Number of boys:

Please provide contact details for another member of your group:

First name:

Last name:

Mobile:

Email:

Section 3 - University

Your university:

Please choose...Southampton UniversitySolent UniversityOther

Your course name:

Year number:

Section 4 - Where You Live Now

Address (halls or private):

Landlord or agent:

Rent per person per month:

Section 5 - Your Letting

Preferred area:

Please choose...BassettPortswoodPolygonHighfieldCity CentreShirleyOtherI don't know

Preferred roads:

When is the earliest you're available to view some houses?

Available from:

Where you heard about Simply Student Lettings:

Please choose...Word of mouthLeafletWeb searchProperty signAdvertisementOther

Comments: