Mutual exchanges

Consent for storing submitted data *

Yes, I give permission to store and process my data

Name *

Email *

Address *

Postcode *

Contact number *

Where did you find your mutual exchange partner? *

I am interested in a mutual exchange with... *

1 other home

A multi way swap

Exchanging with 1 other home

Your exchange applicants details (the property you are moving to)

Exchange applicant's name *

Exchange applicant's address *

Their email *

Their contact number *

Are they a Midland Heart customer too? *

Yes

Their landlord *

Their landlord's email *

Their landlord's contact number

Agreement

By submitting this form you are confirming that: You understand that the information you provide on this form will be used to process your application for an exchange. As part of your application for housing, you also understand that it may be necessary for us to request information from relevant individuals and authorities including a previous or current landlord, mortgage lenders, local authorities, social workers, the police or any other agency as necessary.

I agree *