*Title:	- Mr Mrs Ms Miss Sir Rev Dr Ven Father Prof Dame Lord Lady
*Forename(s):
*Surname:
*Address:
*City:
*County:
*Post code:
*Country:	Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Ce d'Ivoire Central African Republic Chad Chile China Christmas Island Colombia Comoros Congo, Democratic Rep. of Congo, Republic of Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guyana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, F.Y.R.O. Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S Georgia and S Sandwich Islands Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Bahamas Togo Tokelau Tonga Trinidad and Tobago Tunisia Turk and Caicos Islands Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City State Venezeula Vietnam Virgin Islands (British) Wallis and Futuna Islands Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe
*Telephone (Home):
Telephone (Work):
Telephone (Mobile):
*E-mail:
Type of Property:	House - detached House - semi House - terraced Flat Bungalow Other Please specify:
*The property no./name:
Area:	Portsmouth area Southsea area Drayton area Waterlooville area Portchester area Havant area All Other    Please specify:
Selling or Letting:	Selling Letting
HIPPOS:	Register me    Jeffries customer support offers free help and advice on all of your moving needs. We offer access via our relationship with the hipposnetwork to provide free quotes and instruction on everything from HIPS, removals and conveyancing to gas and electricity.
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