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Best time to contact you:	Please select a time8:00 - 10:00am10:00 - 12:00pm12:00 - 2:00pm2:00 - 4:00pm4:00 - 6:00pm6:00 - 8:00pm
Please contact me by:	Select how I should contact you.Call my HomeCall my WorkCall my CellPlease just e-mail me first
Are You Currently Working With a Realtor?	Please SelectYesNo
When are you looking to purchase a home?	Please SelectASAP1 to 3 months3 to 6 months6 to 9 months9 to 12 monthsSometime next monthI'm not sureJust looking around
What price range are you looking for?	Please SelectUnder $50000$50000 - $75000$75000 - $100000$100000 - $125000$125000 - $150000$150000 - $175000$175000 - $200000$250000 - $300000$300000 - $350000$350000 - $400000$400000 - $450000$450000 - $500000$500000 - $750000$750000 - $1000000Over $1000000Over $2000000
What Type of property are you looking for?	Please SelectSingle Residential PropertyMobile Home - Manufactured HomeLand & AcreageCommercial PropertyMulti-Family Property (2 or more units)
Single Residential Property:	Select the type of properyRanch StyleSplit LevelFarm HouseCondominiumTown HouseOther - Use comment area
Mobile Home - Manufactured	Please select type:Single WideDouble WideTriple WideOther- Use comment area
Land & Acreage:	Please select typeLand with homeVacant LotAcreage with waterSize - use comment areaother - use comment area
Commercial Property:	Please select typeStoreOfficeWarehouseStrip-MallOther - use comment area
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Desired Number of Bedrooms?	Please Select1 bedroom2 or more2 only3 or more3 only4 or more4 only5 or more5 only6 or more6 only7 or more
Desired Number of Full Baths?	Please Select1 or more1 only2 or more2 only3 or more3 only4 or more4 only5 or more5 only6 or more6 only7 or more
Desired Number of Partial Baths?	Please Select1 or more1 only2 or more2 only3 or more3 only4 or more4 only5 or more5 only6 or more6 only7 or more
Will you need a garage or carport?	Please selectCarport (1 car)Carport (2 car)Garage (1 car)Garage (2 car)Garage (3 car)Garage (4 car)Garage (5 car or more)
How did you find me?	Please selectSearh EngineGoogleYahooMSNAOLOther-------------FriendAnother RealtorReal Estate MagazineNewspaperRadioBanner Website AdOther
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