Relocation Enquiry Form

Please complete the enquiry form below. This will give us a better initial understanding of how we can help you. The mandatory fields are marked with an asterisk (*), and you may leave the rest blank if you are unsure of anything at this stage. There is no obligation and your details will be kept confidential. We will respond to you within 48 hours either by e-mail or by telephone.

Alternatively, just send an email to sue@spacesa.com with your query. We will be happy to send you our fee structure and a more detailed overview of our services on request.

If you quote a personal e mail account and not a corporate/work one (e.g. Hotmail, AOL, Tiscali, Demon, Yahoo, etc...), the response from Space may go directly into your junk box as Space is not a recognised address.

PLEASE CHECK YOUR JUNK BOX IN 48 HOURS TIME.

	About you and your family
	Full name:*
	E-mail Address:*
	Verify E-mail Address:*
	Telephone Number: (including country code)
	Country of residence:*	Please Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Congo (DRC) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Islands Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Lucia Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe
	Time when you would prefer to be contacted by phone:
	(Leave blank if you would prefer we dealt with your enquiry by e-mail)
	Are you moving with your company or emigrating?
	Is your whole family moving?
	(If yes please state how many adults and children including children's ages.)

	Your Plans
	When are you planning to move?
	Which of the following are you interested in?
	Immigration School or Nursery Search Home Search (for purchase) Settling-In Rental Accommodation     What kind of property are you looking to buy in the Western Cape? House Apartment Rural dwelling / "small holding" Lock up and go   (Property which you will use for holidays only) Golf Estate property / Complex Please rank the following points in order of importance to you (1=least important, 10=most important)
	Local Facilities 0 1 2 3 4 5 6 7 8 9 10 Space 0 1 2 3 4 5 6 7 8 9 10 Price 0 1 2 3 4 5 6 7 8 9 10 Daily Commute 0 1 2 3 4 5 6 7 8 9 10 Neighbourhood 0 1 2 3 4 5 6 7 8 9 10 Security 0 1 2 3 4 5 6 7 8 9 10 Quality of accommodation 0 1 2 3 4 5 6 7 8 9 10 Schools 0 1 2 3 4 5 6 7 8 9 10 Which area(s)? 1st choice Please Select All Areas Atlantic Beach Bantry Bay Blouberg Boulders Camps Bay Claremont Clifton Constantia CT City Centre De Waterkant Fishhoek Franschhoek Fresnaye Gardens George Gordons Bay Green Point Hermanus Higgovale Hout Bay Kalk Bay Kenilworth Knysna Kommetjie Langebaan Llandudno Marina Da Gama Melkboss Mouille Point Muizenberg Newlands Noordhoek Oranjezicht Paarl Rondebosch Sea Point Simons Town Somerset West Southern Suburbs Steenberg Stellenbosch Tamboerskloof Tokai V&A Waterfront Wilderness Yzerfontein Zwaanswyk None   2nd choice Please Select All Areas Atlantic Beach Bantry Bay Blouberg Boulders Camps Bay Claremont Clifton Constantia CT City Centre De Waterkant Fishhoek Franschhoek Fresnaye Gardens George Gordons Bay Green Point Hermanus Higgovale Hout Bay Kalk Bay Kenilworth Knysna Kommetjie Langebaan Llandudno Marina Da Gama Melkboss Mouille Point Muizenberg Newlands Noordhoek Oranjezicht Paarl Rondebosch Sea Point Simons Town Somerset West Southern Suburbs Steenberg Stellenbosch Tamboerskloof Tokai V&A Waterfront Wilderness Yzerfontein Zwaanswyk None   3rd choice Please Select All Areas Atlantic Beach Bantry Bay Blouberg Boulders Camps Bay Claremont Clifton Constantia CT City Centre De Waterkant Fishhoek Franschhoek Fresnaye Gardens George Gordons Bay Green Point Hermanus Higgovale Hout Bay Kalk Bay Kenilworth Knysna Kommetjie Langebaan Llandudno Marina Da Gama Melkboss Mouille Point Muizenberg Newlands Noordhoek Oranjezicht Paarl Rondebosch Sea Point Simons Town Somerset West Southern Suburbs Steenberg Stellenbosch Tamboerskloof Tokai V&A Waterfront Wilderness Yzerfontein Zwaanswyk None       Property specifics: Please describe your ideal property (for rental or purchase) e.g swimming pool, number of bedrooms, importance of the garden, views, style, security estate or not etc etc. IF a rental property, please give a monthly budget. If you are looking for rental property please complete the 'Property Specifics' section with your ideal rental property plus your budget, length of lease and when you would want the rental to start.

	Additional Information
	How did you hear about us? *
	Word of mouth / Personal recommendation.   (Please let us know who told you about us.) Postcard or leaflet Advertising   (Please state which magazine or newspaper) Read about Space in an article.     (Please state which publication) Internet Search Engine (Google) Internet Search Engine (Other)     Finally how much would you like to spend? * Please Select Rental Only Not looking for rental or purchase R1,500,000 - R3,000,000 R3,000,000 - R5,000,000 R5,000,000 - R8,000,000 R8,000,000 - R12,000,000 R12,000,000 - R20,000,000 R20,000,000 + If you are looking for rental property please complete the 'Property Specifics' section with your ideal rental property plus your budget, length of lease and when you would want the rental to start.

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