| Full Name |
|
| Street Address |
|
| Address (cont.) |
|
| City |
|
State/Province |
|
| Zip/Postal Code |
|
Country |
|
| Work Phone |
|
Home Phone |
|
| FAX |
|
E-mail |
|
The Best Way
To Contact You |
Home Phone
Business Phone
Email
U.S. Mail |
Best Time to Call |
Morning
Afternoon
Evening |
Are You Currently Under
Contract With A Realtor
Yes
No |
|
| When Are You Planning to Buy?
|
The Price Range You Are Comfortable With
|
| Number of Bedrooms Desired
|
Number of Bathrooms Desired
|
Do You Need to Sell Your Home
Yes
No |
Are You Pre-Approved for a Loan
Yes
No
In the Process |
| How Did You Hear About Us?
|
In the
box below let us know what areas you are particularly interested
in. This will be entered into your profile search and will be reflected
in the information that will be sent to you.
Any additional comments are welcomed! |
|
|
|
|
