1. What interests you the most in a new home?
        (Please click on one or more checkbox's below)

Size Location Price Schools

2. What area are you most interested in?
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If "other"...
(Please type in the box below)

3. Please give me some specific ideas about what you're looking for:
     (Please type in your remarks or questions below)


4. Please tell me how to get in touch with you:
     (Type in your contact information  below)

Name:
Work Phone:
Home Phone:
FAX:
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5. Thank you for your information, just click on SEND to contact me!


Equal Housing Opportunity          © 2001 Porto Vita, LP