Name *
Address
City
Province/State
Postal/Zip Code
Email Address *
Home Phone
Work Phone
Cell Phone
What area of town are you most interested in?
	Please select: Barrhaven Kanata Orleans Ottawa South The Glebe Any/All Areas Other
I am from out of town. I am living here in the Ottawa area.

This home must have the following:

Price Range *	Please select: $75,000 - $100,000 $100,000 - $125,000 $125,000 - $150,000 $150,000 - $175,000 $175,000 - $200,000 $200,000 - $225,000 $225,000 - $250,000 $250,000 - $275,000 $275,000 - $300,000 $300,000 - $325,000 $325,000 - $350,000 $350,000 - $375,000 $375,000 - $400,000 $400,000 - $450,000 $450,000 - $500,000 $500,000 or more
How did you determine a price range?	Please select: Through bank or lender Just guessing Self calculation
Type of residence:	Please select: Doesn't Matter Bungalow 2 Storey Single Townhouse Townhouse Condo
Car spaces:	Please select: Doesn't Matter One Two Three Four or More
Garage:	Please select: Doesn't Matter Yes No
Bathrooms:	Please select: Doesn't Matter One Two Three Four or more
Minimum Bedrooms:	Please select: Doesn't Matter One Two Three Four Five or more
Family Room:	Please select: Doesn't Matter Basement Mid-level Main Floor
Basement:	Please select: Doesn't Matter Unfinished Partly Finished Fully Finished
Laundry:	Please select: Doesn't Matter Basement Mid-level Main Floor
Flooring:	Please select: Doesn't Matter Wall-to-wall Hardwood Softwood
Fuel Type:	Please select: Doesn't Matter Electric Natural Gas Oil
Furnace Type:	Please select: Doesn't Matter Baseboard Forced Air Heat Pump
Air Conditioning:	Please select: Doesn't Matter Central air Window Unit None

Other Information

Are you prepared to carry out renovations?	Please select: Yes No
Do you require the equity from your present home to purchase your new home?	Please select: Yes No
Have you obtained a Pre-Approved Mortgage?	Please select: Yes No
When do you need your new home?	Please select: Now!! One - Three Months Three - Six Months Six - Twelve Months longer than 12 months
When would you be available to view prospective homes?	Please select: Mornings Afternoons Evenings Weekends Only Does Not Matter
Comments or questions: