PLEASE ENTER YOUR CONTACT INFORMATION First Name Last Name E-Mail Address Evening Phone Number Daytime Phone Number Fax Number Preferred Appointment Days Evenings I would like Rick Mazur to contact me. Yes No ENTER YOUR PROPERTY INFORMATION Property Address City Province Postal Code Residential Type Single Family Attached Single Family Detached Condo Duplex Fourplex Townhouse Mobile Home Vacant Land Style of Home (Select or describe other) Bungalow Raised Bungalow Bi-Level 1 1/2 Storey 2 Storey 2 1/2 storey Two Storey Split Split 3 Level Split 4 Level Split Multi-Level Other - specify Square Footage (above ground level) Type of Basement Full 3/4 Half Crawlspace Partial Slab Walkout None Basement Development Fully-Finished Part-Finished Insulated Only Unfinished Other - specify Parking 1 car attached garage 1 car detached garage 2 car attached garage 2 car detached garage 3 car attached garage 3 car detached garage multi-car garage Other - specify Bedrooms (Above Ground) Bedrooms (Below Ground) Number of Full Bathrooms Number of Half Bathrooms Master Bedroom Ensuite Yes No Extras Age of Home Condition of Home Excellent Good Fair Poor Extra Comments