Buyers Request Form

If you would like to be contacted regarding a possible home purchase, please fill out the following form completely. Please be sure to click the submit button at the bottom to send all your details. I will be sure to get back to you in a timely fashion.

All information is kept strictly confidential

Email: (Required)
First Name:(Required)
Last Name:(Required)
Phone:(Required)
Mailing Address:
City:
Province:
Postal Code:
Are you relocating to our Province?	Yes No
What town or area are you interested in living?
What is your desired price range?
What style of home do you prefer? (check all that apply)	1 Storey Home 2 Storey Home Duplex Condominium 3-storey semi-detached splits rows condo-apt condo town home
Minimum # Bedrooms You Need:
Minimum # Bathrooms You Need:
Minimum # Square Feet You Need:
Do you need a garage?	No Yes-1 car Yes-2 car Yes-3 car Other
Have you been preapproved for a mortgage?	Yes No
Do you have a house to sell before purchasing a new home?	Yes No
How should I contact you?	Home Phone Work Phone Email
Remarks