First Name:
Last Name:
Phone:
Fax:
Address:
City:
Prov / State:
Country:
Postal Code:
E-Mail:
Price Range:
Under $100,000.00
$100,000 - $150,000
$150,000 - $200,000
$200,000 - $250,000
$250,000 - $300,000
$300,000 - $350,000
$350,000 - $400,000
$400,000 - $450,000
$450,000 - $500,000
Over $500,000
# Beds:
1
2
3
4
5
# Baths:
1
2
3
4
5
How soon would you like to get into your new home?:
Immediate - 30 Days
30 - 60 Days
60 - 120 Days
Flexible
Desired Neighbourhood:
Style (ie, 2 storey Bungalow):
Flexible
Bungalow
Multiple Storey
Side or Backsplit
Townhouse/Rowhouse
Condominum
Waterfront
Do you need a Garage?
Where did you hear about Homelife DLK?
Internet
Sign
Newspaper
Referral
Past Client
Mail Campaign
Phone Book
Other
Are you presently working with an agent?
Have you been pre-approved for financing?
Do you own your home or are you renting?
If you have been
referred, please let us know by whom in order that we can extend
our thanks. Referrals are the finest compliments we can receive
and an acknowledgement is due.
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