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Full name :
DOB :
occupation :
type :
Full name :
DOB :
occupation :
type :
Child under 16 :
address :
French post code :
Town :
email:
Tel :
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Type of car :
model :
oil :
date manufacture :
your choice :
email:
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type :
mains rooms *
* please only count rooms above 9sqm. Rooms above 40 sqm count for 2 rooms. Don't count: corridors, bathrooms, wc, cellar, laundry room, store rooms.
residence :
post code :
French Town :
email:
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