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Real Estate Request Form


Please, select any of the following items that apply to you...

Are you from out of town.
Are you living here in the Ottawa area?



Name:
Address:
City:
Province:
Postal:
E-Mail:
Home #:
Work #:
Fax #:



Which area of Ottawa are you thinking of moving to:

Age of the Home: New 1 to 5 years 5 to 10 years Over 10 years

This Home must have the following:

Price Range: Garage:
Type: Bedrooms:
Bathrooms: Family Rm:
Basement: Laundry:
Flooring: Fuel:
Furnace: Air:



Please include any special features you might want with the house.
(i.e. alarm system, pool, fireplace, etc.)



Your return e-mail address is required:

   




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