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:

Marianne Baird Anderson
Susan L. Richardson
Sales Representatives

Keller Williams Ottawa Realty
610 Bronson Avenue
Ottawa, Ontario
K1S 4E6