YOUR NAME:
ADDRESS:
CITY: STATE:  ZIP:
COUNTRY: FAX:
EMAIL:
DAY TEL: NIGHT TEL:

How would you like to be contacted?
E-Mail Fax   Day Phone  Evening Phone
  
The type of property I am interested in:
Homes                               
Condominiums
Ranch Land                     
Building Lots
Retail Commercial              
Other

My price range for land is:
Up to $50,000                               
Up to $75,000
Up to $150,000                    
$150,000 and up
          
My price range for a home is:
Up to $150,000                             
$150,000 - $200,000
$200,000 - $250,000                     
$250,000 - $300,000
$300,000 - $350,000              
$350,000 - $400,000
$400,000 - $450,000             
$450,000 and up

I am primarily looking for:
Relocation Destination      
Vacation Destination
Retirement Place        
Other

Will you be selling an existing home in order to buy this home or land?
 Yes No

If yes, do you need help finding an agent in your area?
 Yes No

If no, do you need assistance arranging financing?
Yes No

When do you plan to visit our area?
Immediately                
This Winter
This Summer
No plans yet

Please indicate if you are interested in receiving information on ... 
Employment Opportunities 
Schools, Churches, Organizations
Recreation Opportunities    
Architects, Builders, Financing
A Biannual Mailing on our Area 

Questions/Comments: 

 when done, or  .