A Piece of Burgundy, Properties for sale, houses, buying a house in burgundy  Property Assistance
 

Account Application Form for Services.
First Name on Account :
*

 Second Name on Account :
*
Your Current Address :
*
*
*
*
*

 Your French Address :
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*
*
*

Please choose the Service you require

Package 1

Package 2

  

Package 3

Package 4
 

* We will contact you personally to discuss pricing as this varies for each house.
Please Note: If you require our Emergency Callout, please click here to use the correct form.

If you have any special requirements for the above packages, please include them here.

All replies will be sent to the following E Mail address:
*

  By ticking this box I herby agree to the Terms & Conditions for the packages chosen above and agree to the payment terms as advised. Please read our General Terms & Conditions.

We advise you to fill this form in completely, then click 'Send' to e-mail it to us or print it, sign in the box below and phone our French office on 00 33 (0)3 80 93 77 25 to arrange for it to be faxed.

Signed :     Dated :