Rental Information Request Form
For Houses (Detached/Linked/Semi's/Freehold Townhouses)



Location Desired . . .

Mississauga:
W12 (South-East) W13 (South-West) W14 (East) W15 (Central)
W16 (West) W19 (Central-North/North) W20 (North-West)

West Toronto (Formerly Etobicoke):
W06 (South) W07 (Central-South) W08 (Central) W09 (Central-North) W10 (North)

Type of Rental Property You Are Looking For . . .

Lease Term
Earliest Move-In-Date
Latest Move-In-Date
Monthly Rental Price, Excluding Utilities (Canadian $$$) From: To:
Minimum Number of Bedrooms
Minimum Number of Washroom(s) and and
Type



 or or
Style or or
Heat Source
Heat Type
Central Air
Family Room
Garage Type or
Minimum Number of Garage Space(s)
Basement

 or
Drive or
Fireplace/Stove
Pool
Approximate Age and and
Approximate Sq. Ft. and


Contact Information
Please complete all items marked with (*) for a reply. Thank You!

Your First and Last Name *
Address
City *
Province/State *
Country *
Postal/ZIP Code
Telephone Number (Work) *
Telephone Number (Home) *
Fax Number
E-Mail Address *

Preferred Method of Contact*: E-mail you Call You at Work Call You at Home
Best Time to Call (Work)
Best Time to Call (Home)
Use The Space Below For Additional Infomation or Requests:


PRESS " SUBMIT NOW " to send this Rental Information Request Form for Houses to Gordon.
Once your Information Request Form has been received, you will be contacted, by your preferred method indicated.

Thank-you for completing this Rental Information Request Form for Houses!



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Gordon Chan/Sales Representative, Prudential Elite Realty T.W.
E-mail: info@gordonchan.com, Tel: (905) 629-1515, Fax: (905) 629-0496
5090 Explorer Drive, Unit #100, Mississauga, Ontario, Canada L4W 4T9
Not intended to solicit existing listings or buyers/renters under contract. Prudential Elite Realty T.W. is an independently owned and operated member of The Prudential Real Estate Affiliates, Inc.

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