VENDOR 1	Mr	Mrs	Miss	Dr	VENDOR 2	Mr	Mrs	Miss	Dr
First name
Other name(s)
Surname
Address
Date of Birth
Day Tel.
Evening Tel.
Mobile No.
Email
HIP Contact
Property Details
HIP Address (if different)		Asking Price
Flat/Maisonette House Freehold Leasehold Registered Unregistered No. of bedrooms
Vendor(s) Owner(s) Rep of deseased owner Rep of living owner Other If Other, please specify
Contact Details (if different)	First name Surname Address Tel No. Email
Product Cost	£275 Upfront payment £99 deposit (£276 on completion)
Payment Type	Cash Cheque Credit/Debit Card (TDP will telephone to arrange payment collection)
Any Other Info
Estate Agents Details	Name Branch
	Tel No. Contact
I/we authorise The Dures Partnership (TDP) to arrange for the preparation of my/our Home Information Pack (HIP). I/we agree to pay for the HIP as confirmed above and in accordance with the Terms & Conditions of TDP that have been verbally explained to me and set-out in their written Terms & Conditions that I/we have read.
Vendor 1 Sign .................................................................................. Date ........................................
Vendor 2 Sign .................................................................................. Date ........................................