| Fields marked * are mandatory |
|
| Contact Information
|
|
| * Your name : |
|
| Your telephone # : |
|
| Your Fax # : |
|
| * Your email : |
|
| Best time to contact you
: |
|
| Housing Information
|
|
| Area selection (city, state,
zip) : |
|
| * Price Range : |
|
| * Type of property
: |
Single
Family Home
2 Family or Mother/Daughter Home
Townhouse
Condominium
Other
|
| Size of home/property : |
|
| Number of bedrooms : |
|
| Nearby school(s)
desired : |
|
| Other Preferences
(Please Specify...) : |
|
| When to purchase
: |
Immediately
Within 2 Months
Within 4 Months
Within 1 Year
Undecided |
| Need to sell
your present home : |
Yes
No
|
| Prequalified
by lender : |
Yes
No
|
| Need more
information on financing : |
Yes
No
|
Personalized
List
Enter your complete mailing address if you would
like me to mail you a personalized list of homes or properties in
your range : |
|
| |
|
| |
|
(516) 825-2000
