How soon do you wish to move?    Immediately    Within three months    Within the year

Have you pre-qualified for a mortgage?  Yes    No

What price Home are you looking for?

Select a Range over 500,000 400,000 to 500,000 300,000 to 400,000 250,000 to 300,000 200,000 to 250,000 150,000 to 200,000 100,000 to 150,000 75,000 to 100,000      

# of bedrooms?     1 2 3 4+     

# of baths?            1 1.5 2 3 3+

Specialty rooms?            

Garage?                           not required 1 car 2 car 2+ car

Pool?                                Yes No

Type/ location      Waterfront   Golf course home    Condo   Ranch   Two story   Townhouse

Enter your comments/questions in the space provided below

Tell me how to get in touch with you:

	Name
	Street
	Apt
	City
	State   Zip
	E-Mail
	Phone

 

How soon do you wish to move?    Immediately    Within three months    Within the year

Have you pre-qualified for a mortgage?  Yes    No

What price Home are you looking for?

Select a Range over 500,000 400,000 to 500,000 300,000 to 400,000 250,000 to 300,000 200,000 to 250,000 150,000 to 200,000 100,000 to 150,000 75,000 to 100,000      

# of bedrooms?     1 2 3 4+     

# of baths?            1 1.5 2 3 3+

Specialty rooms?            

Garage?                           not required 1 car 2 car 2+ car

Pool?                                Yes No

Type/ location      Waterfront   Golf course home    Condo   Ranch   Two story   Townhouse

Enter your comments/questions in the space provided below

Tell me how to get in touch with you:

	Name
	Street
	Apt
	City
	State   Zip
	E-Mail
	Phone

 

How soon do you wish to move?    Immediately    Within three months    Within the year

Have you pre-qualified for a mortgage?  Yes    No

What price Home are you looking for?

Select a Range over 500,000 400,000 to 500,000 300,000 to 400,000 250,000 to 300,000 200,000 to 250,000 150,000 to 200,000 100,000 to 150,000 75,000 to 100,000      

# of bedrooms?     1 2 3 4+     

# of baths?            1 1.5 2 3 3+

Specialty rooms?            

Garage?                           not required 1 car 2 car 2+ car

Pool?                                Yes No

Type/ location      Waterfront   Golf course home    Condo   Ranch   Two story   Townhouse

Enter your comments/questions in the space provided below

Tell me how to get in touch with you:

	Name
	Street
	Apt
	City
	State   Zip
	E-Mail
	Phone

 

How soon do you wish to move?    Immediately    Within three months    Within the year

Have you pre-qualified for a mortgage?  Yes    No

What price Home are you looking for?

Select a Range over 500,000 400,000 to 500,000 300,000 to 400,000 250,000 to 300,000 200,000 to 250,000 150,000 to 200,000 100,000 to 150,000 75,000 to 100,000      

# of bedrooms?     1 2 3 4+     

# of baths?            1 1.5 2 3 3+

Specialty rooms?            

Garage?                           not required 1 car 2 car 2+ car

Pool?                                Yes No

Type/ location      Waterfront   Golf course home    Condo   Ranch   Two story   Townhouse

Enter your comments/questions in the space provided below

Tell me how to get in touch with you:

	Name
	Street
	Apt
	City
	State   Zip
	E-Mail
	Phone