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Home Seekers Form



Please fill out the form below to post your ad on our site.

Your posting will remain on our site until the Olympic Games are over or until you email us to remove it.

The one time cost is $10.99 CDN and includes text and a jpg. image if you wish. If you want to add a photo please reply to the auto respond email you will recieve and attach it.

Other than your email address we will not post your personal information, only what you have included in your "Description".

Please email david@van2010rentals.com if you have any questions.

Home Seekers Posting Application
Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country*
Home Phone*
Business Phone
Fax
Description as you would like it to appear in your posting*
Please Choose Your Package*
Payment Method*
Cheque
Visa
Mastercard
Cardholder Name
Card Number
Expiration Date (MM/YY)
*
I Agree That I have Read and Agree to the Terms and Conditions

Please enter the word that you see below.

  


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