Title
Mr.
Mrs.
Ms.
Dr.
First Name
Last Name
Address 1
Address 2
City
State
Zip Code
Country
International Phone
Local Phone
Office Phone
E-Mail
What prompted you to visit our website --
www.portovita.com
?
Newspaper Ad
Referral
Magazine Ad
Real Est. Agent
Billboard
Other
Are you married?
Yes
No
How many family members at home?
What is your occupation?
Yours
Your Spouse
What is your approximate age?
Yours
Under 35
35-45
45-55
55-65
Over 65
Your Spouse
Under 35
35-45
45-55
55-65
Over 65
Will Porto Vita be your primary or secondary residence?
Primary
Secondary
Which do you prefer?
High Floor
Mid-Level Floor
Low Floor
2 Bedroom
3 Bedroom
4 Bedroom plus
Desired Price Range?
Under $500,000
$500,000-$700,000
$700,000-$1 million
Over $1 million
What community amenities are important to you?
Spa & Fitness Club
Concierge Services
Swimming
Security
Shopping
Boating
Dining
Golf
Schools
Tennis Club
Entertainment
If you like what you've seen and read about Porto Vita, how soon would you be making a purchase decision?
30 Days
3 Months
1 Year
Longer than 1 Year
Equal Housing Opportunity
©
2001 Porto Vita, LP
