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Expat Assistance

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Ms  Mrs  Mr Name :  (*) Firstname : City :  (*) Country :  (*) Telephone :  (*) E-Mail :  (*) Company :  (*)     What services will you require ? (Select at least one) House search and installation Administrative procedures INTERPRALINK Departure procedures Other   Please give us more details about the assistance required : </td> </tr> <tr> <td colspan="2">If you are looking for accomodation, please provide us with the following details :</td> </tr> <tr> <td>Date you need accomodation from :   <input name="date_install" type="text" size="15"></td> </tr> <tr> <td colspan="2" height="5" valign="top">Type of accomodation :      Appartment<input type="radio" name="type_accomodation" value="appartment">  House<input type="radio" name="type_accomodation" value="house"></td> </tr> <tr> <td colspan="2" height="5" valign="top">Length of rental :   <input name="rental_lenth" type="text" size="5">  Month<input type="radio" name="month_year" value="month">  Year<input type="radio" name="month_year" value="year"></td> </tr> <tr> <td colspan="2" height="5" valign="top">Number of bedrooms :  <input name="number_bedrooms" type="text" size="5"></td> </tr> <tr> <td colspan="2" height="5" valign="top">Budget :   <input name="budget" type="text" size="5">   euros / month</td> </tr> <tr> <td colspan="2" height="5" valign="top">Preference :      Downtown<input type="radio" name="preference" value="downtown">  Toulouse vicinity<input type="radio" name="preference" value="tlse_vicinity">  Other<input type="radio" name="preference" value="other"></td> </tr> <tr> <td colspan="2" height="5" valign="top">Parking :      Yes<input type="radio" name="pkg" value="pkg_yes">  No<input type="radio" name="pkg" value="pkg_no"></td> </tr> <tr> <td colspan="2">Any other requirement :</td> </tr> <tr> <td colspan="2"> <textarea name="other_requirement" cols="60" rows="5">    (*)  Required