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1. Name:*
2. Address:
3. City/Town:
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1. Email:*
2. Phone Number:* - -
3. Fax Number: - -

1. Loan Number (not required: We can easily obtain financing for you through our many lenders):
2. Number of Bedrooms? 1 2 3 4 5 6+
3. Number of Bathrooms? 1 1.5 2 2.5 3 3.5 4 5 6+
4. Desired Purchase Price? $200K-$300K $300K-$400K $400K-$500K $500K-$750K $750K-$1million $1million and above
5. What particular floor plan do you like best?

6. Do you want to build a Custom Home from scratch?

   1. Build from scratch
   2. Modify existing floor plan
   3. Have own building plans

7. What is the best time to be reached?

   1. 8:00 AM to 12:00 PM
   2. 12:00 PM to 5:00 PM
   3. after 5:00 PM

1. How did your hear about Life in Cary? Internet Real Estate Guide Word of Mouth Banner Ad Mailing Newspaper Ad Builder Magazine
2. Comments:
3. Internal Use