Name:

Address:

City:     State:     Zip:

Home telephone number:    Work telephone number:

Cellular telephone number:

Email Address:

Best time to contact you: Morning Afternoon After 6:00PM Weekends

Your current residence: Rent Own

How did you hear about us?

Are you interested in : New Construction Purchasing a Spec Home

What price range are you interested in

$200,000 – $250,000
$401,000 and up

$251,000 – $300,000
 $301,000 – $400,000    

What is your desired move in date:

What style of home are you interested in? Ranch Two-Story

How many bedrooms do you desire? 3    4   5  

Where do you prefer the Master Bedroom to be located? First Floor   Second Floor   No Preference  

How many baths do you desire? 2    2-1/2    3    3-1/2

What other home amenities do you desire?

Bonus Room/Media Room    Study   Keeping Room    Dining Room   Living Room 

What community are you interested in? (REQUIRED: Please select one or more)
Hampton Ridge    Hermitage     
Heritage Estates / Heritage Commons  Highland Park     Windstone  
Phillips Creek      RiverWalk      Valley Cove      Build on your Lot 


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