The following questions will help us to meet your needs and timetable. This information will not be distributed or used for any other purpose.

Do You Own a Building Lot?	Yes No Have Deposit on Property In Process of Purchasing
If so, in what State?
City/Town:
County:
If No,
where are you looking?
City/Town:
County:
Will you be selling a home?	Yes No
Time frame for obtaining a new home	-select- 1-3 months 3-6 months 6-12 months 1-2 years 2+ years
Style of Interest	-select- Single Section Ranch Cape Cod Undecided
Size Range	-select- < 1,000 SF 1,000-2,000 SF 2,000-3,000 SF
Approx. Price Range
Price should include	-select- Home Only Home & Basement Home, Basement, Garage
Have you investigated financing?	-select- Please send info Am pre-approved Will make own arrangements
How did you find our web site?	-select- Search Engine Banner Ad Link from another website Friend/Family Radio Advertisement Newspaper, Magazine Other
Additional comments or questions:

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