How did you hear about Langley Village? Cloverdale Reporter MLS 24 hours Abbotsford News Abbotsford Now Direct Mail Letter Email Flyer Friend/Referral Georgia Straight Langley Advance Langley Times New Home Buyers Guide Porte website Real Estate Weekly Realtor Signs Surrey Leader Surrey Now The Province Vancouver Sun West Coast Home Search Other (please specify in Comments) What is your current living status? Own Rent Living with parents Selling home What is your existing residence? Apartment Detached home Townhome Condominium Other What is you present family status? Single Couple Couple with kids Single with kids Retired Other How many bedrooms are you looking for? 1 bedroom 2 bedroom 2 bedroom + den When would you like to purchase? Immediately 3-6 months 6-12 months More than 12 months Not applicable What is your price range? Under $150,000 $150,000 – $175,000 $175,000 – $200,000 $200,000 – $225,000 $225,000+ What is your age group? Twenties Thirties Forties Fifties Sixties Seventies or better Are you purchasing for? Primary residence Investment For a family member Personal Information Title Mr. Mrs. Ms. Dr. First Name* Last Name* Address City Province/State Postal/Zip Code I Can Be Reached at Home Phone Work Phone Cell Phone Email* Are you a realtor? Yes No If yes, please specify your name and company Are you working with a realtor? Yes No If yes, please name the realtor Comments or questions? Registration allows us to provide you with advance notice of openings, special events, and promotions. By submitting this information you consent to the collection, use and disclosure of such information for such purposes and the disclosure of this information to the Porte Group of companies. This information remains confidential and assists us with market research for all our communities. Information gathered is for the sole use of the Porte Group of companies. Be assured that none of this information is sold or distributed to any other parties except with your permission.