Contact & Register
Title
Miss
Ms.
Mrs.
Mr.
Mr. and Mrs.
Dr.
*First Name
*Last Name
*Telephone
Alt. Telephone
Address
City
Province / State
Postal Code / Zip Code
Do you want updates?
Yes
No
*Email
*Are you working with a Realtor?
Yes
No
Please tell us about this realtor (name, company, etc)
I would like to purchase...
1 Bedroom
1 Bedroom + Den
2 Bedroom
2 Bedroom + Den
*My price range is...
$200,000 – 300,000
$300,000 – 400,000
$400,000 – 500,000
$500,000 +
*How did you first hear about The Texada?
Magazine
Newspaper Ad
Internet
Signs
Received Brochure in Mail
Friend/Family
Realtor
Other
*How soon are you planning to buy?
Immediately
3 – 6 months
6 – 12 months
Over 12 months
*Age Group
20 – 30 years
31 – 40 years
41 – 50 years
51 – 60 years
61 + years
Comments:
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For more info, contact:
thetexada@telus.net
