1.
Area Selection:
2.
Housing Information:
Please choose an option.
$100,000 to $150,000
$150,000 to $250,000
$250,000 to $350,000
$350,000 to $500,000
$500,000 to $1,000,000
Over $1,000,000
Price range?
Please choose an option.
Single family
Town house
Condominium
Other
Type of home?
Please choose an option.
1,000 to 2,000 sq. ft.
2,000 to 3,000 sq. ft.
3,000 to 3,500 sq. ft.
over 3,500 sq. ft.
Size of home?
Please choose an option.
Two bedrooms
Three bedrooms
Four bedrooms
Five bedrooms
Bedrooms?
Please choose an option.
Two bathrooms
Three bathrooms
Four bathrooms
Bathrooms?
Please choose an option.
Under 5 years
Under 10 years
Older than 10 years
Age of house?
Please choose an option.
Immediately
Within 2 months
Within 6 months
Within 1 year
Undecided
When to purchase?
Please choose an option.
Yes
No
Need to sell your present home?
Please choose an option.
Yes
No
Pre-qualified by a lender?
Please choose an option.
Yes
No
More information on financing?
3.
Contact Information:
Your name*
Your
e-mail address*
Your phone number*
Please choose an option.
Please call daytime
Please call eveningtime
Please call daytime or evening
When should I contact you?
What would be the best time(s) to reach you?
Are
you currently working with another REALTOR®?
no
yes
4.
Please mail me a personalized
MLS list of homes in my range. Note:
Be sure to fill out below the mailing
address information to receive the MLS
list!
Postal Address
St.
Zip
Any
extra comments, or specifics you would like to
add: