Customer Information Form
First Name:
Last Name:
Address:
City:
State:
Zip:
E-mail Address:
Do you already have a Realtor:
yes
no
How did you hear about this subdivison?
Newspaper
Drive by
Flyer
Friends or Family
Directional Signs
Magazine
Internet
Reason for Moving:
Price Range:
$150,000 to $200,000
$250,000 to $300,000
$350,000 to $400,000
$400,000 and up
Comments: