Contact Information
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* First Name: |
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* Last Name: |
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Primary contact number: |
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Telephone (home): |
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Telephone (work): |
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Telephone (cell): |
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* Email: |
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Best time to contact you: |
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About your home
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Address: |
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Type of home: |
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Age of property: |
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Number of bedrooms: |
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Number of bathrooms: |
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Ensuite bath: |
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Garage type: |
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Heating: |
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Fireplace: |
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Main floor family room: |
yesno |
Air conditioning: |
yesno |
Finished basement: |
yesno |
When were the following last upgraded or renovated or added on?
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Kitchen: |
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Main bathroom: |
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Ensuite bathroom: |
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Powder room: |
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Family room: |
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Windows: |
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Flooring: |
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Basement: |
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Shingles: |
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Wiring: |
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Additions: |
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Other: |
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Additional comments: |
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* Spam question: |
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* Required Fields |
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