| Name |
|
| Address |
|
| City |
|
| State/Zip |
|
| Home Phone |
|
| Work Phone |
|
| Email |
|
| What is your housing preference? |
1 Bedroom
2 Bedroom
3+ Bedrooms
Townhome
Condo/Duplex
Single Family |
| What is you price range? |
$100,000 - $199,999
$200,000 - $249,999
$250,000 - $299,999
$300,000 + |
How soon would you
like to move?
|
0-6 Months
6-12 Months
Longer |
| Do you presently... |
Own
Rent |
| Are you prequalified? |
Yes
No |
What is your annual
household income?
|
$25,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 + |
| How did you hear about us? |
Drive by/live in area
Agent/Broker
Sun Times/Homelife
Internet
Postcard/Mailing
Church
Friend/Relative
Work in Area
Other (please specify in Comments window |
Are you working with a
Real Estate agent?
Please list name and agency
|
|
| Comments |
|
|
