|
| Date |
|
| * Name |
|
| Address |
|
| City, St, Zip |
|
| * Email Address |
|
| * Home Phone |
|
| Work Phone |
|
| Fax |
|
How did you first hear
about Columbia Homes? |
Newspaper
Home Book
Friend/Relative
Realtor
Drive By Sign
Internet
New Homes Guide
Billboard
Columbian
Other
|
| If other, please specify. |
|
| Planning to purchase within: |
30 days
90 days
180 days
|
| Current Residence: |
Own
Rent
Just Sold
|
If you are considering selling your home,
would you like Market Analysis? |
Yes
No
|
| What type of home are you interested in? |
One Story
Two Story
|
How much square footage
are you looking for? |
|
| What price range are you looking for? |
$150,000 - $200,000
$200,000 - $250,000
$250,000 - $300,000
$300,000 -$350,000
$350,000 and above
|
Are you currently looking
for a home with a Realtor? |
Yes
No
|
If Yes, please provide their
contact information. |
|
| Have you spoke or met with a Lender? |
Yes, I'm Prequalified
Yes, I'm Preapproved
No, not yet.
|
Please provide other
comments or needs here. |
|
|
Fields marked with an * are required.
|
