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Name:
E-mail:
Home Phone:
Address:
City, State, Zip:
Work Phone:
I am looking for a house in the
$140-170,000
$171-199,000
$200-249,000
$250,000+
Price Range
How soon are you planning to buy?
Within 3 months
Within 6 months
Within 1 year
When current home sells
When transfer to area
Just looking
My household includes the following: (check all that apply)
Pre-K
College
Elementary
Extended Family
Middle School
Other:
High School
Other Communities you are looking at?
How did you hear about this community?
Real Estate Agent
Magazine Advertisement
Billboard
Direct Mail Piece
Newspaper Advertisement
From a friend
Internet
From a homeowner
Directional Signage while driving
Are you working with a Realtor?
Yes:
No:
If so, name of Realtor:
Phone:
Additional Comments/Questions:
