Location Preference:
Kitchener Waterloo Waterloo Region Downtown Kitchener Uptown Waterloo Rural Other see Remarks

Type of Residence:
High-rise Walk-up Townhouse Single Family Dwelling Not Particular Other (see Remarks)

Desired Date of Occupancy:
January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 20

Number of Residents to Live in Unit:


Price Range:

	From:
	To:

 

Long Term:
Short Term:

Parking:

	Number of Vehicles:
	Indoor
	Outdoor
	No Preference

Amenities:


How may we contact you?
  Name
  Current Address
  City
   Province/State
   Postal/Zip Code

( )  -                          Home Telephone
( )  -    Ext#   Office Telephone

  Email
  Best Time To Call

Remarks: