I can help you find the home that suits your needs. It is not only finding the home that is important, but making sure that your choice meets the standards that you set and that you have professional protection. You can be assured that your interests are paramount.

	1. Contact Information:
	First Name:  Last Name:  Address:  City:  Province:  ----------Select Province----------- N/A Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Other Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code:  Home Phone:  Work Phone:  Fax:  E-mail:  Please contact me...  By E-Mail By Fax By Phone

	2. Property Information:
	Please identify the areas or neighbourhoods you would like to receive information on, you can use community names or street boundaries as your description.  Condominium:  -----Select Type----- Apartments Townhouses Lofts  Freehold:  -----Select Type----- 2-Storey 3-Storey Bungalow Split-Level  Maximum   Price Range:  $100,000 - 125,000 $125,000 - 150,000 $150,000 - 175,000 $175,000 - 200,000 $200,000 - 250,000 $250,000 - 300,000 $300,000 - 350,000 $350,000 - 400,000 $400,000 - 500,000 $500,000 - 600,000 $600,000 - 700,000 $700,000 - 800,000 $800,000 - 900,000 $900,000 - 1,000,000 $1,000,000 + Rental Property   Approximate  Sq. Footage:  less than 700 700-1100 1100-1500 1500-2000 2000-2500 2500-3000 3000-3500 3500-5000 5000 plus  Minimum. # Bedrooms:  1 2 3 4 5 6   Minimum # Bath(s):  1 2 3 4 5   Kitchens:  1 2 3  Parking Spaces Required:  1 2 3  Parking Type:  -----Select Type----- Street Driveway Off-Lane Garage Required Features of House or Property:   Presently you, Rent or Own? Own Rent Are you considering the sale of your home? Yes No Are you presently looking for a home? Yes No Are you currently under any contract with a Realtor® or Brokerage? Yes No By which date do you wish to move? Questions / Comments: