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Purchaser #1

First Name

Last Name

Email Address

Phone Number

Postal Code

Date of Birth

S.I.N.

Occupation

Driver's License #

Driver's License Expiry Date

Are you a Realtor?

Yes

Purchaser #2

Add 2nd Purchaser?

Yes

First Name (2nd Purchaser)

Last Name (2nd Purchaser)

Email Address (2nd Purchaser)

Phone Number (2nd Purchaser)

Postal Code (2nd Purchaser)

Date of Birth (2nd Purchaser)

S.I.N. (2nd Purchaser)

Occupation (2nd Purchaser)

Driver's License # (2nd Purchaser)

Driver's License Expiry Date (2nd Purchaser)

Unit Preference

Project Name:

Preferred Floor Range (If applicable)

Parking (If eligible)

Yes

Locker (If eligible)

Yes

Comments / Questions

Our Agents

Parvez Kasmani

Broker

Rizwana Kasmani

Broker

ROYAL LEPAGE SIGNATURE REALTY
IND. OWNED & OPERATED BROKERAGE

Cell: 647-403-1607

Office: (905) 568-2121

*Terms & Conditions Apply – See Sales Representative For More Information **We do not represent the builder. All renderings, incentives, pricing are subject to terms & conditions are may change at anytime without notice – see sales representatives for more details. E&OE *Not intended to solicit buyers currently under contract.