CONTACT INFORMATION
By sending me the following information which I will hold in the strictest confidence
you will receive information about properties that meet your profile, often
before other buyers even know about them.

* indicates a required field

*First Name: 

*Last Name: 

*Email: 

*Phone: 

Fax:

Street Address:

City, Province, Postal Code:

SEARCH INFORMATION

Where would you like to live?

Home Style:

Home Price: 

Min. Baths: 

Garage Size: 

Garage Style:

Min. Bedrooms:

Two One Three Four Five or More

SPECIAL CONSIDERATIONS

How many family members will be living in this home?

Why are you moving?

What is your school district preference if any?

Do you currently own or rent your home?

Own:     Rent:

Have you been pre-approved for a loan?

Yes:     No:

When would you like to be in your new home?

Two to Six Months Not Sure One Month One to Two Months Within a year

Did you know that you can get today's interest rate locked in for approximately 30 days to protect you against future rate increases?

Yes:     No:

Would you like us to lock in the rate for you?

Yes:     No:

What is the best time for you to view homes?

I'm very flexible Weekday Mornings Weekday Afternoons Weekends Only Sundays Only See Comments

Are you working with any other REALTORS® in our area?

Yes:     No:

Realtor's Name if any:

Additional comments and information: