Contact Information:

When do you plan to buy: 6 Months 6-mos. - 1 year 1 yr. - 2 yrs. Over 2 years

The best time to call you is: Select A Time Morning Afternoon Evening

Home Description & Features:

Home Style	Structure
Detached	11/2-storey Split-level
Semi-Detached	2 storey Single level
Bungalow	Square Footage:
Town Home	Lot Size:
Condo	Exposure: Select North South East West
Location:

Bedrooms:	Select One Two Three Four Five or More	Bathrooms:	Select One Two Three Four Five or More
Study/Den:	Yes No	Family Rm:	Yes No
Pool:	Yes No	Fireplace:	Yes No
Full Bsmnt	Yes No	Fin. Bsmnt:	Yes No
MF Laundry:	Yes No	Garage:	Select No Single 1.5 Car 2 Car 3 Car
Central Air:	Yes No	Central Vac:	Yes No
Heat:	FA Gas FA Oil FA Elec. Elec. BB Htwtr Oil Htwtr Gas Other

Please list other features:

Financial Expectations:

What Price Range Are You Considering?

Have You Been Prequalified for a Mortgage? No Yes

Glyn will contact you within
two business days of receiving this form.

* Not intended to solicit properties already listed.