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Last name *
First name *
Phone number * ex: 111-222-3333
Best time to talk to you : * ampmnightweek-end
Email *
Door number *
Street *
City* Brossard Candiac La Prairie Saint-Lambert
Postal code*
Type of coating * Asphalt Gravel Unistone Concrete
Slope * Level Slight slope toward the street Slight slope toward the house
Width of entry * 1 car 2 cars 3 cars More than 3 cars
Tempo shelter Yes
Shared entrance with a neighbor Yes
Tax credit yes
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