Capital locations

Name:*

Number of persons:*

Your current location (Country):

Telephone work:

Telephone:

Mobile:*

Skype name:

Email:*

Occupation:*

Nationality:*

Birthdate:*

Company*:

Contact person:*

Address:

City:*

Mobile:

Phone:*

Signed employment contract?:*

Email:*

Employment contract start date*:

Rental period: (in months)*

Option to extend:*

No Yes, with (months)

Starting from date:*

Amount of bedrooms(min)*:

Total min. surface m2:

Preferred city(s)/area(s)*:

Type:*

Studio Apartment House Boat

Furnished:*

Yes No Semi

Pets:*

Yes No

Car parking priority:*

Yes No

Min. - Max. monthly rental price*
(minimum rental price is 1500,-)

Rent paid by:

Company Private

Commission paid by:

Company Private

When will you be in Amsterdam?*
(Specify dates and times please)

Have you been in The Netherlands before?

Maximum travel time to work (minutes)

General remarks: