Name *

First Name

Last Name

Cellphone Number *

(###)

###

####

Rental Period *

1 year lease

2 year lease

N/A

Buying *

Would you like to purchase a unit if they become available for sale?

Yes

No

Location *

Ground Floor

First Floor

Second Floor

Parking Bays *

1 Bay

2 Bays

3 Bays

Age *

18 - 25 yrs old

26 - 30 yrs old

31 - 35 yrs old

36 - 40 yrs old

41 - 45 yrs old

46 - 50 yrs old

51 - 55 yrs old

56 - 60 yrs old

61 - 65+ yrs old

Income Bracket *

R5000pm - R10 000pm

R10 001pm - R15 000pm

R15 001pm - R20 000pm

R20 001pm - R25 000pm

R30 000pm +