Contact information: (How do you want potential customers to get in touch with you...

Contact name: _____________________ Contact phone: _______________________

Contact address: ______________________________ City: _______________________

Province/State: ___________________ Postal/ZIP Code: __________________

Name of Owner: _______________________ Owner phone: _______________________

Address of property: _____________________________________

City: ___________________ Prov./State: ___________

Do you want the address of the property to appear in the advertisement? YES ___ NO ___

Please note. My current webhost company doesn't support forms. Please just put the information requested in the form below in an email and attach a gif or jpeg of your home (please, no more than 20KB in size!).

Sorry, we can no longer provide a scanning service.

Please fill in this form, giving the approximate measurements and location of each room. If the room description doesn't apply (for example, if you don't have a laundry room) write NONE. Include a couple of sentences describing your property.

ROOM DESCRIPTION ROOM DESCRIPTION
LIVING ROOM . KITCHEN .
DINING ROOM . BATHROOM .
MASTER BEDROOM . BEDROOM 2 .
BEDROOM 3 . BEDROOM 4 .
REC ROOM . LAUNDRY ROOM .
OTHER BATHROOM . GARAGE .
Other (specify) . Other (specify) .
Other (specify) . Other (specify) .


EMail the information and gif or jpeg to mirroreyes@echelon.ca

Thank you for your patronage!

Last modified: February 16, 2002

Copyright 1998-2002 Mirroreyes Internet Services Corporation

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