Vineland Park Estates Request for Waitlist

Waitlist Request Form

Thank you for you interest in applying for the Townhomes located on Simon's Lane in Vineland Ontario. Please be advised the townhouses are associated with a LifeLease policy. For more information please visit the Vineland Park Estates tab on our website umh.ca. Please reach out to 905-562-7385 with any further questions.
Name*

First NameLast Name
Birth Date*

DayMonthYear
Name

First NameLast Name
Birth Date

MonthDayYear
Phone Number*
Email Address
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status

SingleMarriedDivorcedWidow/er
Church Affiliation and Minister
ex. name of church rev john doe
Preferred Date of Occupancy

MonthDayYear
ex. 00-00-2028

Waitlist Request Form