First Name:*
Last Name:*
Street Address 1:
City:
State:
Zip Code:
Home Phone:
( ) -
Work Phone:
( ) -
Email Address (Primary):*
Do you currently rent or own?
Rent
Own
Are you currently working with a realtor?
Yes
No
When do you want to be in your new home?
1 - 3 Months
3 - 6 Months
Within 1 year
If yes, please register their name and company:
What Price Range Are You Most Interested In?
$300,000 - $350,000
$351,000 - $400,000
$401,000 - $450,000
$451,000 - $500,000
$501,000 or greater
Type of home desired?
2 BR
3 BR
4 BR
Master on the main
What is motivating you to buy? (check all that apply)
First Time Buyer
Interest Rates
View
Investment
Home Too Small
Tax Benefit
Better Location
Job Transfer Relocation
Home Too Big
Improve Lifestyle
Desire New Home
How did you learn of this community?*
Friend/Relative Referral
Radio
Signs/Walk-by
Newspaper
Realtor
Internet
Magazine
Direct Mail
How many people will be residing in your home?
One
Two
Three +
What is Your Age:
Under 25
25-34
35-44
45-54
55-64
65-69
70-74
75-79
80 and over
What is your household income?
Less then $40,000
$41,000 - $70,000
$71,000 - $100,000
$101,000 - $150,000
$151,000 - $200,000
$201,000 +
How many other new communities have you visited?
1 - 3
4 - 7
8 or more