WORKSHEET SUBMISSION PORTAL

SUITE REQUEST FORM (SOUTH TOWER O)

Date: * +

BETWEEN: Concord Adex Inc. (the “Developer”) and：

First Name *

Last Name *

Tel (prime): *

Driver’s License / Passport #: *

Email Address *

Street Address *

Zip Code *

Are you a Canadian citizen or permanent resident of Canada? *

Yes

Upload Picture of ID *

Do you have a second buyer? *

Yes

Please fill the form below for the Second Buyer

First Name *

Last Name *

Tel (prime): *

Driver’s License / Passport #: *

Email Address *

Street Address *

Zip Code *

Are you a Canadian citizen or permanent resident of Canada? *

Yes

Upload Picture of ID *

SUITE INFORMATION: *

	Suite Type		Floor Preference
	Junior 1 Bed	1 Bed	1 Bed + Den	2 Beds	Low	Mid	High
Option 1	Junior 1 Bed	1 Bed	1 Bed + Den	2 Beds	Low	Mid	High
Option 2	Junior 1 Bed	1 Bed	1 Bed + Den	2 Beds	Low	Mid	High

Locker *

Parking *

Suite request is not completed without authorized signatory and copy of the identification of the Suite Request Holder. CONCORD PARK PLACE PRESENTATION CENTRE 1001 Sheppard Avenue East Toronto ON. 647-836-3517

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