Contact Details

(International code +353)

Phone / Fax 01 282 8652

Mobile 1 0868 417 492

Mobile 2 0862 161 337

E-mail locations@eircom.net

Address

Please complete the form giving as much information as possible.

We will then contact you regarding your registration

Name

Property

Registration Form

County

Town

Telephone number

Contact Telephone

(if different to above)

Type of property

Description of property

Any special features

Direction Facing

North

South

East

West

Power available

Parking available

For how many cars ?

Yes

No

Yes

No

Nearest Town

Distance from Dublin

Miles

Any Source of noise

(Airport, Factory, Main Road)

Yes

No

IMPORTANT

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If you do not wish to send these details by e-mail, please contact us and we will forward details by postal service.

Photographs submitted by e-mail

Yes

No

E-mail address

Web site URL if applicable