PRE-REGISTRATION FORM
* Required Fields
Mr.
Mrs.
Miss
Ms.
Mr. & Mrs.
Dr.
First Name: *
Last Name: *
Address: *
City: *
Province: *
Postal Code: *
Phone: *
Email: *
1.
How would you like to be contacted? *
Email
Telephone
Mail
2.
What is your age group?
20's
30's
40's
50's
60's
70+
3.
How did you first learn about Hill Top Estates?
Internet Search
Richmond Review
New Home Buyers Guide
Real Estate Weekly
Ming Pao
Friends/Family
Realtor
Signage
Other
4.
Are you?
Single
Single With Children
Couple
Couple With Children
Empty Nester
Other
5.
What type of home are you currently living in?
Apartment/Condo
Townhome
Duplex
Detached Home
Other
6.
What type of home are you currently looking for?
2 level with 4 bedrooms
2 level with 5 Bedrooms
3 level with 5-6 Bedrooms
3 level with 6-7 Bedrooms
7.
Reason for purchase?
Personal Residence
For Investment
Other
8.
When do you plan on making your new home buying decision?
Immediately
1 - 3 Months
4 - 6 Months
7 Months or more
9.
If you found the right home today, when would you like to move in?
Immediately
1 - 3 Months
4 - 6 Months
7 Months or more
10.
What is your desired price?
$900,000 - $1,000,000
$1,000,001 - $1,100,000
$1,100,001 - $1,200,000
$1,200,001 - $1,3000,000
$1,3000,001 +
$600,000 +
11.
Are you a realtor?
Yes
No
12.
Are you working with a realtor? *
Yes
No
13.
If yes, who?
To ensure your privacy, please enter the six-letter security code (no spaces) as shown in the blank box provided
.
