First Name/s:
Last Name/s:
Daytime Phone:
Evening Phone:
Fax:
Mobile:
Email:
Address:
Suburb:
State:
ACT
NSW
NT
SA
TAS
VIC
QLD
WA
Postcode:
Country:
Australia
New Zealand
Other
Other
Are you planning on selling or renting out your current home/ property?
Selling
Renting
We do not own a property yet
Are you interested in getting FINANCE information on Mortgages/
Refinancing/ Financial Investment Properties?
Yes
No
Description of home/ property you wish to buy:
Description of Area/ Suburb:
Price Range From $:
To $
Style of Home/ Property: (eg. 2 levels, 1 level, conventional, contemporary, bungalow etc.)
Type of Home/ Property: (eg.Traditional Villa Courtyard Townhouse Homette Unit Flat Land)
Size of Home Approximate Square Metres:
Construction:
Solid Brick
Brick Veneer
Timber Frame
Other
Land Size Approximate Square Metres:
Number of Bedrooms:
1
2
3
4
5
More
Number of Bathrooms:
1
2
3
4
More
Number of Living Rooms:
1
2
3
4
More
Description of Car Parking:
Your current situation:
Renting
First Home Buyer
Sold
Property To Sell
Other
Are you interested in receiving INSURANCE information for House/
Boat/ Car/ Personal?
Yes
No
Comments:
How did you learn about our site?
Letterbox Drop
Leaflet/ Pamphlet/ Letter via Post
Advertiser Newspaper
Sunday Mail Newspaper
Local Newspaper
Internet Search Engine
Link From Another Agent Site
Friend or Relative
Business Card
Newsletter
Yellow Pages Book
Yellow Pages Online
Poster/ Window Display
Other (Please Specify in Comments Box)
To make sure that we send you the right information to help you in your current situation,
please indicate which report you want to receive:
If you are planning to make your move in the next 6 months or less, you'll need to organize yourself quickly.
However, even within this short time frame, there are many issues you can address. Please order Report #1.
Report #1
If you think it will be longer than 6 months before you make a move, there are a greater number of issues you
can address. Within this longer time frame, the choices that face you are a little broader. Please order Report #2.
Report #2
Win $50!... simply ensure you have nominated 'How you found our site' or detail who sent you here in the comments box (so we can say Thanks) or 'Refer a Friend' to increase your chances of being our monthly $50 Prize Winner.