Name

Address

City

StateZip

Telephone

Email

Towns you are interested in (Separate by commas)

How many bedrooms are you looking for?

How many bathrooms are you looking for?

What price range are you looking in?

Have you spoken to a mortgage lender?

What area do you plan to work in? (Area of city - i.e. North Raleigh)

How many children do you have?

List your childrens' school grades separated by commas (We will have the school system send you information.)

What is your target date for relocation?

Do you plan on visiting the area?

Do you intend to rent for a period of time?
How long?

What is your maximum rent?

How many Bedrooms do you require?

What are your hobbies or special interests?

Other Comments or Questions