Suite 204, 6360 - 202 Street, Langley, BC V2Y 1N2 PH: (604) 514-7565 FAX: (604) 514-7521

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Registration Form

Please take a moment to register your interest so that we may keep you updated on Benchmark Homes activity. Indicate which subdivision(s) you are interested in and our sales representative will be in touch with you soon.

Contact Information

Name:		Home #:
Address:		Cell #:
City:		Work #:
Province:		Fax #:
Postal Code:		E-Mail:
Country:		I prefer to be contacted by: Mail Home Phone Cell Phone Work Phone Fax E-Mail
(required) Subdivision:	Yorkson South     Southview     All Subdivisions

Inquiry

How soon are you looking to buy a new home?
ASAP 1-3 Months	3-6 Months Over 6 Months
How did you hear about us?
Signage Realtor Friends/Family	Real Estate Magazine Newspaper Online	Other:
Are you working with a realtor?
Yes	No
What is your price range?
Under $500,000 $500,000 - $550,000	$550,000 - $600,000 $650,000 - $700,000	$700,000 +
Current Status:
Rent Own	Home For Sale Home Sold
What type of home are you looking for?
3 Bedroom	4 Bedroom
Is this your first home purchase?
Yes	No

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