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Please Fill In This Section First (Required) Name : Company : Address : Country : E-mail : Tel : Fax : (Please specify area code in addition to your local number) Please complete this questionaire to help us understand your needs What type of accommodation do you require ? Villa Standard Apartment Serviced Apartment Do you require the property to be furnished? Yes No How many bedrooms do you require? ---Please Select--- Studio One Two Three Four or more How many occupants? What is the square meter that you require? ---Please Select--- Below 100 sq.meter Between 100-200 sq.meter Between 200-300 sq.meter Between 300-400 sq.meter Greater than 400 sq.meter What are the facilities you would require? Your preferred location: ---Please Select--- Jing An District (Downtown) Xu Jia Hui (Downtown) Hong Qiao Area (Near Hong Qiao Airport) Gubei Area (Between Hong Qiao & Airport) Pudong Area (Near New Airport) or a particular location you desire : What is your anticipated monthly budget? US$ RMB What is the lease period? When do you plan to arrive Shanghai? ---Month--- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---Year--- 2008 2009 2010 2011 Or please specify Others Do you have pet(s)? Yes   Types: Number: No Additional information:

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**Applying for China Visa**

Land & Fortune Realty Limited
Company Licence No : C-003013

Room 1707, 17/F.,
Prosperity Millennia Plaza
663 King's Road, Quarry Bay,
Hong Kong

Tel : (852) 2111 6008
Fax (852) 2915 7098

E-maill : marketing@landfortune.com

For any queries, please feel free to contact Jackson at
(852) 2111 6008 or (852) 9652 3042