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Enter the following details as accurately as possible, then click on Send. Or print it out, complete it, and fax it to my attention, Graham Gerken at 519-641-1340.

The more accurate and complete the information, the more you may rely on the results sent to you. Results of your evaluation can be sent via: phone, fax, e-mail or regular mail -- whichever is the most convenient.

     
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Contact Information
First name
Last name
E-Mail Address
Street Address
City
Province
Postal Code  
Day Phone Number  
Evening Phone Number
Fax Number  
I Prefer Appointments   Days Evenings
NOTE: Remember, there is no further obligation, so it is safe to leave your name, address, and phone number. No pressure, no hassle. Just great service, and all the information you want, when you want it!
Property Information
I am Interested In  
Style of Home
(Select or describe other)
 
Other - specify

Approximate Square Footage

 
I would Like The Basement Developed   Yes No Doesn't Matter
I Would Like A Garage:   Yes No Doesn't Matter
Garage type  
Other
How Many Main Floor Bedrooms?  
How Many Basement Bedrooms  
How Many Full Bathrooms?  
How Many Half Bathrooms?  
I Require a Master Bedroom Ensuite   Yes No
Extra Comments  
NOTE: Remember, there is no further obligation, so it is safe to leave your name, address, and phone number. No pressure, no hassle. Just great service, and all the information you want, when you want it!   I will need to sell my home first..
Yes No

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