Canadian Northland Properties

652 Taylor Ave. • Oshawa, Ontario • L1H 2G1 • Canada • 905-243-6498
www.northlandproperties.ca

PROPERTY ORDER FORM – ONLINE RESERVATION
Complete and submit this form to request an immediate
reservation on a particular property.

We will contact you upon receipt of the form to review your reservation. Please keep in mind that we honor
Property Orders on a first-come first-served basis. If you have any questions regarding a property,
calling us direct is always most prudent.

If you prefer to send funds immediately, please download and complete printer-friendly
PDF PROPERTY ORDER FORM and return it with payment to the address on the top of this page.

PROPERTY DOWN PAYMENT AND DESCRIPTION
I intend to send: as down payment for

First Choice PROPERTY #

Second Choice PROPERTY #

PAYMENT ORDER
CASH ORDER (discount as stated in description)
I intend to pay CASH and will send the balance as soon as my order has been accepted.

MONTHLY PAYMENT ORDER
I will pay in monthly payments and will send the first payment one month from today, and the other payments every month thereafter.

YOUR CONTACT INFORMATION
E-mail Address:

Occupation:

Full Name:

Address:

Apt:

City:

State/Province:

Postal/Zip Code:

Business Phone:

Cell Phone:

Home Phone:

Fax Number:

Date:

I am over 18 years of age.

Age: