In order to be able to be ale to make a good offer, we would like to ask you a number of questions in order to obtain a picture of the situation concerning you and your home.
Please answer these questions in detail so that we can we can make as tailor-made an offer as possible.
Initials :
Last name:
Telephone number:  
E-mail address:
Street and house number:
Postal Code:
Town:
Province:  
Details of crawling space:  
Height in cm:
Surface area in square metres:  
Moisture (yes/no):
Accessible or not:  
   
Additional comments:
   

- Hilkens-Drowa - Dieterderweg- 6 - 6114 JL -
Telephone: 0031(0)46–4861275
-Susteren - The Netherlands-
Fax: 0031(0)46–4861276