LOOKING FOR PROPERTY    JUST VISITING

Name 
Street 
City  State    Zip 
Phone    Fax 
Email 
When will you be moving?   Immediately Next 30 days 30 - 60 days 60 - 90 days 90 - 120 days 120 + days
How long have you been looking?  Just Started Less than 30 days 30 - 60 days 60 - 90 days 90 - 120 days 120 + days
Are you currently working with an agent?   Yes No
Where would you like to live?   Home in Municipality Home in County (Subdivision) Home in County (Acreage) Condominium Townhouse Other
What is your price range (approximately)? 
How many bedrooms would you like?  2 bedrooms 3 bedrooms 4 bedrooms 5 bedrooms 6 + bedrooms
How many bathrooms would you like?  1.5 bath 2 bath 2.5 bath 3 bath 3.5 bath 4 bath 4.5 bath 5+ bath
How many square feet would you like?  < 1,000 Sq. Ft. 1000 - 1500 1500 - 2000 2000 - 2500 2500 - 3000 3000 - 3500 3500 - 4000 4000 +
Describe your perfect home or any comments if your "just visiting".



How would you like me to contact you?    Telephone E-mail Fax Postal
Would you like "Relocation Info" sent "Overnight"?   Yes No