Seller Info

Primary First Name

Primary Last Name

Primary Cell #

Primary Email

Secondary First Name (optional)

Secondary Last Name (optional)

Secondary Cell # (optional)

Buyer Info information used for warranty follow up only

Buyer's First Name

Buyer's Last Name

Buyer's Cell # (optional)

Buyer's Email (optional)

Home Address associated with this warranty coverage

Address

Suite/Apt (optional)

City

Province

Ontario

Postal Code

Select the type of home

Is the home being transacted is a resale?

Are you aware of any circumstances which may prejudice coverage under any of the products being purchased?

Listing Date (mm/dd/yyyy)

Firm Date (mm/dd/yyyy)

Closing Date (mm/dd/yyyy)

Waiting Period

When would you like to commence the waiting period?

There is a 30 Day Waiting Period for this coverage. The 30 day waiting period will commence on the Firm or Closing Date, which ever date is selected. The warranty start date is the day following the expiration of the waiting period