Bridgers
69 Tansey Green
Road, Pensnett,
West Midlands.
DY5 4TJ.

T 0845 555 3020
T 0121 427 1200
F 0121 427 8299

Register

By registering with Bridgers-West Midlands you will be able to request property details on this occasionand at any time in the future.

Personal Details
	Please complete all required fields (marked by *)
Title
First name	*
Last name	*
Address line 1	*
Address line 2
Town / City	*
County	*
Post Code	*
Contact telephone number	*
Mobile phone number	*

Please enter your email address. This will act as your username.
E-Mail / Username:	*
Please enter a password. This can be anything you want but make it easy to remember.
Password:	*
Please select how you would like the property details to be sent to you. Either electronically (email) or paper based (post).
Property details:


Additional Information
The information below is not required in order to register with Bridgers - West Midlands, however if you enter this information we will be able to assit you better!

Lease type
Living recommodation required?
Price range
Business type
Any other information or business interests.
Have you ever owned a business?	if yes what type?
Deposit available to finance purchase (not equity).
If required do you have equity in a property that a loan could be secured upon?	if yes how much?
If required do you have finance arranged for the purchase?	if yes with whom ?
Do you have a property to sell before buying?

	Terms and Conditions I/We confirm that my/our details on this form are correct and complete and that at no time will any sales details or confidential information, including business address or accounts be passed on to any person or company without prior authorisation from Bridgers (West Midlands). I/We understand that if at any time I/We enter into or are party to any negotiations or actions which seek to preclude or are contrary to the interests of Bridgers (West Midlands) and losses are incurred by Bridgers (West Midlands) by my/our action or inaction these losses may be recovered by Bridgers (West Midlands) from me/us as damages, these losses include but are not limited to the full amounts of any commission and/or charges, any interest payable caused by delayed settlement, any overhead costs and any court or debt recovery costs. If you aggree to the above terms and conditions please tick the box below:

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Personal Details

Additional Information