Community
of Interest: |
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(required) |
| Primary Contact (First Name/Last Name): |
| (required) |
| Secondary Contact (First Name/Last Name): |
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| Address: |
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(required) |
| Second
Address: |
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| City: |
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(required) |
| State: |
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(required) |
| Zip: |
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(required) |
| E-Mail: |
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(required) |
| Occupation: |
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| Home
Phone: |
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| Work
Phone: |
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| Cell
Phone: |
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| Other Phone: |
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| Fax Number: |
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How did you
hear about
Renar
Homes: |
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Drive By Friend T.V Website
Newspaper Radio Realtor |
| Other: |
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| Desired Price Range: |
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100,000 - 150,000 151,000 - 200,000 201,000 - 250,000 251,000 - 300,000 301,000 - 350,000 351,000 - 400,000 401,000 - 450,000 451,000 - 500,000 501,000 or More |
Wish to
purchase by: |
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Immediately 1 - 2 Months
3 - 6 Months 7 Months or More |
Number of
Bedrooms desired: |
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| We Now: |
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Own Home Rent None |
| Own Lot: |
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Yes No |
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| Comments: |
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