Name:
Email address
Comments
Sex:	Male Female
Intended property usage:	Residential Commercial Other (please specify)
If commercial, please state the name of organization:
How soon do you want to move in?	Within One Month Between one to three months Between three to six months Six months and above
How much are you looking at investing?	GH¢ Min Price 50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000 450,000 500,000 550,000 600,000 650,000 700,000 750,000 800,000 850,000 900,000 950,000 1,000,000   to  GH¢ Max Price 50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000 450,000 500,000 550,000 600,000 650,000 700,000 750,000 800,000 850,000 900,000 950,000 1,000,000
Have you thought about looking it out yourself?	Yes No
How long have you been looking?	Months 1 2 3 4 5 6 7 8 9 10 11 12   or   Years 1 2 3 4 5 6 7 8 9 10
Are you dealing with other Agents?	Yes No
Purchasing mode	Cash Mortgage
If mortgage, have you met any lender yet?	Yes No
Which mortgage institution are you dealing with?
How much do you qualify for?	GH¢Calculator
Preferred location:	Location Airport Residential Area Airport West Residential Area Dzorwulu Labone Ridge North Ridge Cantonment Abelemkpe East Legon North Legon West Legon Osu Tesano East Airport Adenta Tema (Please specify community) Not listed? (please specify) Not listed? Please specify here:
Preferred house type:	Apartment Townhouse Villa (self compound)
Type of lease:	Leasehold Freehold
Preferred leasehold period (please check all applicable)	Less than 20 years 20 years to 30 years 30 years to 40 years 40 years to 50 years 50 years and above
Number of rooms preferred: (please check all applicable)	1 2 3 4 5 6 Above 6
Number of bathrooms:	1 2 3 4 Above 4
Plot Size:
Please select house features:	Air conditioning Washing machine Dryer Electric water heater Microwave Oven Gas range Extractor fun Dish washer Walk in wardrobe Balcony Tiled floor Hardwood floor Wheel chair access Generator set Cable/Satellite TV Telephone Security Landscaped compound Swimming pool Shared compound Gymnasium Tennis court Spa/Jacuzzi Controlled access Playground/park Remote controlled garage Car port Study Family area Outhouse Storey Water reservoir All en suite bedrooms At least one en suite bedroom 24/7 security Shared compound Self compound Fully fitted kitchen Partially fitted kitchen Security fencing Fire fighting facilities Emergency exit Dining area Guest restroom
Interested in any of the following services? (please check all applicatible)	Cleaning (disinfecting, laundry, vacuuming, fumigating, dusting, etc) Housekeeping Painting Gardening/landscaping Masonry Interior decoration Basic errands Plumbing Electrical works Roofing Pool Service Household payment
Additional information
How did you hear of ImpelVerge Properties?	How did you hear of Us Search engine Referral Our website Not listed? (please specify) Not listed? Please specify here: