1. Title
Mr.
Mrs.
Ms.
Miss
2. First Name*
A value is required.
3. Last Name*
A value is required.
9. Email*
A value is required.
4. Address
5. City
6. Province
7. Postal Code
8. Phone
8. Which development are you interested in?
Edgewood
Centrepointe - SOLD OUT
Sunridge Estates - SOLD OUT
Mountain View Estates - SOLD OUT
The Boardwalk - SOLD OUT
Custom Homes
Seeking to Develop Property
Interested in Investing
9. How did you first learn about Surelok Homes?
Make Selection
Referral
New Home Buyers Guide
New Home Search Magazine
Tri-City News
Coquitlam Now
Real Estate Weekly
Other Local Paper: (please specify)
Vancouver Sun
The Province
Internet Search
Friends / Family
Realtor
The Real Estate Book
Flyer / Postcard
Other: Please specify
10. Which type of home will best suit your lifestyle?
Make Selection
1,500 - 2,000 square feet of living space
2,000 - 2,500 square feet of living space
2,500- 4,000 square feet of living space
greater than 4,000 square feet of living space
Other: Please Specify
11. What price range are you interested in?
Make Selection
$300,000 - $400,000
$400,000 - $500,000
$500,000 - $600,000
$600,000 - $700,000
No set budget amount
12. What is your present status?
Make Selection
Own Home
Own Townhome
Own Apartment/Condo
Renting Home
Renting Townhome
Renting Apartment/Condo
Live with parents
Selling Home
Basement Suite
Other
13. What is your buying interest?
Make Selection
Immediate
3-6 Months
6 Months - 1 Year
Over 1 Year
14. Are you interested in a home for your own residency, investment, or both?
Make Selection
Resident
Investment
Both
15. Are you currently working with a realtor?
Yes
No
16. Please provide us with any specific comments you may have.