When do you plan to buy?

        Desired Price Range:   (Required for Market Search)

        Approximate Square Footage Needed:

 

Location Preference: Optional - leave blank if you don't care

        Number of Bedrooms?

Two Three Four Five (Choose an option.)

Number of Bathrooms?

1.5 2 2.5 3 3.5 4 4.5 5 (Choose an option.)

          Do you require a Basement?  Yes No

Are there any special requirements for the home?

        Do you have a home you will need to sell?   Yes  No

           How would you like the Market Search Results Delivered?

Hand Delivered Sent Via US Mail E-Mailed FAXED to me (Choose one option.)

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First Name
Last Name	(optional)
Address
City
State	Zip
Phone	(Please include the area code)
E-mail

           Is there anything else that you need to tell Jan?    (Optional)