Anthony James & Co.

The Coach House, 38 Cotham Hill, Bristol BS6 6LA

Tel: 0117 923 7316  Fax: 0117 914 7315

email: info@antjam.com

STUDENT ACCOMMODATION – REGISTRATION SHEET

Date:

No. Males:

No. Females:

Total:

University/College:

Current Student Year:  1^st2^ndetc.

  ONE STUDENT to complete this form on BEHALF OF THE WHOLE GROUP.

  We require NAME, EMAIL & TELEPHONE CONTACT INFORMATION FOR TWO PEOPLE and the NAMES of everyone else in the group.  In accordance with the Data Protection Act and our Privacy Policy, your details are not shared with any third party under any circumstances. 

NAME

TEL. NO

EMAIL

NAME

NAME

NAME

  I undertake (on behalf of the whole group) to pay any fees charged by Anthony James & Co. as stated on the Property Detail Sheet.  Failure to do so may result in the loss of the property and the deposit.

Signed:

Date: