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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:
Date Property Purchased:
Condominium:
-----Select Type-----
Condo - Apartment
Condo - Townhouse
Condo - Loft
Co-Op - Apartment
Co-Onership - Apartment
Other
Freehold:
-----Select Type-----
1 1/2-Storey
2-Storey
2 1/2-Storey
3-Storey
Bungalow
Side Split
Back Split
Basement:
Finished
Unfinished
Apartment
In-Law Suite
None
Approximate
Sq. Footage:
less than 700
700-1100
1100-1500
1500-2000
2000-2500
2500-3000
3000-3500
3500-5000
5000 plus
Bedrooms:
1
2
3
4
5
6
Bathrooms:
1
2
3
4
5
Kitchens:
1
2
3
Parking Spaces Required:
1
2
3
Parking Type:
-----Select Type-----
Street
Driveway
Off-Lane
Garage
Special Features of Property:
Type of Heat:
Forced Air - Gas
Forced Air - Oil
Forced Air - Electric
Hot Water - Gas
Hot Water - Oil
Hot Water - Electric
Baseboard - Electric
Radiant Heat
Heat Pump
Other
Central Air Conditioning?
Yes
No
Fireplace(s):
None
1
2
3
More
If Condominium, balcony type:
Enclosed
Open
Terrace
None
If Condominium, Maintenance Fees:
/month
Questions / Comments:
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Wrong ID!