ENTRY FORM

Please fill this form out in its entirety, by answering all questions to the best of your knowledge. ALL FIELDS WITH * ARE REQUIRED

SECTION A: CONTACT INFORMATION

* First Name: * Last Name: * Street Address & Unit: * City: * Province/State: * Postal/Zip Code: * Telephone Number: ie. 555 123 4567 * E-mail Address:

SECTION B: BACKGROUND DETAILS

My cottage property is located in the region: My cottage property is on or near lake: I am looking for a property * I plan to build in: Next 12 Months 1 - 2 Years 2+ Years * My cottage budget is: $250,000 - $350,000 $350,000 - $450,000 $450,000 - $550,000

SECTION C: COTTAGE WRITE-UP

In 250 words or less, please tell us what you love most about cottage living and/or your best experience at a cottage:

We take the privacy of our subscribers seriously, and will not share, sell, or distribute your information to any other third party.

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