RE/MAX Hometown Respects your privacy. Your information will not be
shared with a 3rd party. Fields marked (*) are required.

Desired Property Type:*	choose Apartment Duplex Condominium House Multiplex Townhouse Acerage Farm
No. of Desired Bedrooms:*	choose 1 2 3 4 5 6 7 8
No. of Desired Bathrooms:*	choose 1 2 3 4 5
Desired Location/Area:*	choose Brockville City Brockville Perimeter Maitland Prescott St. Lawrence Waterfront Other/Unknown
Desired Style of Home*:	choose Bungalow 2 Storey Split Level Semi-Detached Condo Other/Unknown
Desired Price Range:*	choose up to $100,000 $100,000 - $150,000 $150,000 - $200,000 $200,000 - $250,000 $250,000 - $300,000 $350,000 - $400,000 $400,000 - $500,000 $500,000 +
Timing of Purchase:*	choose Immediately Within Next 3 months Within Next 6 months Within Next 12 months More than 1 year from now Not Sure / Other
Your Full Name:*
Your Email:*
Your Tel. No.:*
Your Mobile. No.:
Any Questions or Special Requests:
Please Send Me A FREE Buyers Package:	Yes Please!    No Thanks
You (The Consumer) agree to the following conditions*: 1. All data obtained from the Email Update Service may be used only for the consumer's personal, non-commercial use, and only for the purpose of identifying real property for purchase 2. The Consumer has a bona fide interest in the purchase, or lease of real estate of the type being offered through this Email Update Service 3. The Consumer will not copy, redistribute or retransmit any of the data or information provided, or use such data in any other way or for any other purpose 4. The Consumer acknowledges MLS ownership of and copyright in the MLS database I agree with the above conditions*:
Verification Code*: