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

Are you from out of town?
Do you currently live in the Ottawa area?


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


Which areas of the National Capital Region, including Ottawa and surrounding areas, are of interest to you:


When are you thinking of moving? :

Have you been pre-approved for a mortgage?: Yes No

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

This Home must have the following:

Price Range:
Type of Residence:
# of Bedrooms: Ensuite:
Garage:
Family Room:
Bathrooms:
Laundry:
Basement:
Fuel:
Flooring:
Air:
Furnace:
 

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


How did you hear about Janny, Jeff and Shan?
For Sale/Sold sign
Bus Bench or Bin Advertising
Web site
Print ad
MLS.ca
Referral
If you were referred to Janny, Jeff and Shan, who was it that referred you?
  

Your return e-mail address: