Pat Dyck - Roxanne Meek

80 Athol Street East, Oshawa, ON L1H 8B7

Phone: 905 576-4111 Toll Free: 1-866-525-4111 Fax: 905 435-5383

Pat Dyck

Sales Representative

Roxanne Meek

Sales Representative

Matt Dyck

Assistant

Wednesday May the 23rd, 2012

Free Home Evaluation

A home evaluation will determine the current value of your home, helping you make an informed decision.

Complete the following form to receive a free home evaluation.

First Name:

Last Name:

Phone:

Fax:

E-mail:

Street Address:

City:

Province:

Postal Code:

Number of Bedrooms:

Bathrooms:

Approx. Sq. Footage:

Lot Size/ Acreage:

House Type:

House Style:

Garage:

Parking:

Overall Condition:

Basement:

Approximate Age of Home:

When Do You Plan To Move?

Additional Criteria and Information:

Security Code:

Please enter the numbers found inside the box.