* = required information
My Status: I haven't seen the property at all yet I have seen the outside but not yet been inside
Given names: Surname: Date of Birth:
Home phone: Work phone: Mobile phone:
Email address:
Do you have any history of a debt collection or default? Yes No
Monday (8:30am - *5:30pm)
Tuesday (8:30am - *5:30pm)
Wednesday (8:30am - *5:30pm)
Thursday (8:30am - *5:30pm)
Friday (8:30am - *5:30pm)
Saturday (8:30am - 12:30pm)
*Please note that during winter months (May - August) our latest possible viewing time is 4:45pm. This is due to limited daylight hours.
Comments:
I agree to Agnes White & Associates MREINZ adding my email details to their database so that I can be emailed or contacted about other properties that match my search criteria.
Remember what I filled in for next time