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Name: |
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Address: |
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City: |
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State: |
Zip Code: |
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Daytime Phone: |
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Evening Phone: |
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Fax: |
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E-mail: (required) |
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anwer the following questions: |
| Are you Planning to Purchase? |
Yes
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No
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| Are you Planning to Rent |
Yes
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No
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| Are you being
transfered? |
Yes
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No
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| Do you have a house to sell? |
Yes
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No
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| Yes - Send me a FREE relocation
packet! |
Yes
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No
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| Can we refer you to a broker
in your area? |
Yes
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No
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| What are you interested in? |
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| What is your approximate
price range? |
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| What is your approximate
move date? |
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| Are you planning on a preview
trip? |
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| Additional Comments: |
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