Title
M.
Mme
Mlle
M. et Mme
Surname *
First name *
Adress *
Post Code *
Town *
Country *
Telephone (home)
Telephone (work) or mobile
E-mail
Your E-mail will enable us to send you documentation quickly for you to download.
Department where you envisage building (in order of preference) :
First choice *
Second choice
Third choice
House intended to be a*
-- Choice --
Main residence
Secondary residence
Rental investment
You have a plot of land* :
yes
no
You know your overall budget (house+land+costs)* :
-- Choice --
No
Yes and under 100000 €
Yes and between 100 and 140000 €
Yes and between 140 and 180000 €
Yes and between 180 and 220000 €
Yes and over 220000 €
Other information:
What is the origin of your visit and how did you find our website?*
-- Choice --
Internet Search Engine
Link with another website
Publicity in the Regional Press
Publicity in the National Press
Publicity in the local small ads newspaper
Television
Contacts, friends, family
This information is required for
Demeures de la Côte d'Argent
(a brand name of the
MISA group
).
We may need to use this information so that you can have all the commercial information about the brand names in the
MISA group.
If you do not want this, please tick the applicable box:
We envisage transmitting this information to partners for business purposes.
If you do not want us to do this, please tick the box opposite:
(*) The fields marked with an asterisk must be completed
You have a right of access, rectification and deletion of data concerning yourself
(Law on Information Technology and Liberties of 6 January 1978 )
For all requests, please write to:
Le Directeur Commercial MI SA, 55/57 avenue de Colmar 92500 Rueil Malmaison.
