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Buyer's Information Form
I'd love to hear from you...
I appreciate your request for further information and letting me know your specific
real estate buying needs. I look forward to serving you!
Know that this information is kept confidential and will never be released
to any third party.
(NOTE: If you receive the message
"no referring page provided" when you submit this form, please temporarily
turn off the privacy control feature of your firewall/security software, specifically
"Privacy Control" in Norton's Internet Security suite. That feature can
prevent the form from working properly.)
Richard D.
Jenkins, Broker - Buyer's Info Form
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Email address
(Required) |
NOTE: Your email adress must
be in the correct format --
name@isp.com -- or this form will not go through. |
Name:
(Required) |
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Address:
(Required) |
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City:
(Required) |
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State:
(Required) |
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Zip:
(Required) |
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| Home phone: |
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| Work phone: |
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| Fax: |
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| Cell phone: |
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What is your timing for purchasing? |
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Now
Within 6 to 12 months
Within 2 years |
What type of real estate are you looking for? |
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Residential Home
Water Access Home
Waterfront Home
Private Waterfront Home
Business Opportunity
Vacant Land
Vacant Land with Water Access
Other Real Estate: |
What is your desired price
range? |
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Do you have any general comments or questions? |
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Thank
You! Expect to hear from me soon.
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Web Site ©
Copyright
2006 - 2007 by
Richard D. Jenkins
and ATI
Consulting
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