SIN3# SIN3#
ADDRESS SUITE3# ADDRESS SUITE3#
CITY PROVINCE CITY PROVINCE
CELL CELL
HOME HOME
OFFICE OFFICE
E-MAIL E-MAIL
NOTES
NOTES
Preferred Range of Floors/Direction/What You Want To Avoid
2
3
4
5
CHOICE MODEL NAME TYPE
OCCUPATION OCCUPATION
DOB
(
DD/
MM/YY)
DO
B (DD/MM/YY)
FULL3LEGAL3NAME FULL3LEGAL3NAME
All3Fields3Are3Mandatory:3Worksheets3Missing3Fields3Will3Not3Be3Accepted3
Sample AD 15 1 Bed+Den i.e. Not 6th Floor. Want West View
1
PURCHASER31: PURCHASER32:
POSTAL3CODE POSTAL3CODE
MIB RESERVATION REQUEST WORKSHEET
PROJECT NAME: How Did You Hear About Us?
Parking: Locker:
Investor:
End User:
*VALID GOVERNMENT ISSUED PHOTO ID IS REQUIRED WITH WORKSHEET*
Must Email it to Info@MyInvestmentBrokers.com, Mike@MyinvestmentBrokers.com
or Hunny@MyInvestmentBrokers.com
Canary House
RE/MAX Real Estate Centre, My Investment Brokers
Real Estate Brokerage
1140 Burnhamthorpe Road West #141C
Mississauga, ON
L5C 4E9
647.518.9200
NAME OF EMPLOYER
NAME OF EMPLOYER