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| Address: |
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City: |
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Zip Code: |
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Evening Phone: |
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Check One Category
Initial Visit
Return Visit |
How did you hear about us?
Chicago Tribune
Crain's Chicago Business
The Chicago Reader
Loft Living Guide
New Homes
Financial Exchange
Wall Street Journal
Chicago Social
Computer Currents
Broker
Other |
Planning to Move:
2-3
months
Within 6 months
6 months or longer
Household income:
$50,00 or below
50,000 - 75,000
75,000 - 100,000
100,000 - 150,000
150,000 + |
| Housing
Preference: 1 bedroom 2 bedroom 3 bedroom 3+ bedroom |
Do you presently:
Own a single family home?
Own a town house?
Own a condo?
Rent?
Other |
Considering price for
a new home:
Less than $150,000
150,000 - 200,000
200,000 - 250,000
250,000 + |
Age of head of household:
Under 35
35-44
45-55
56-64
65">
65+ |
Are you currently working
with a broker?
Name:
Firm: |
Principle reason for moving:
Transferred to area
Present residence unsuitable
Tired of paying rent
Other |
Frquency of Internet access:
Daily
Weekly
Rarely
Never,
but I'm interested
in
learning more |
Broker, and clients working with
brokers please note:
Brokers must accompany their clients at the
inital showing of this property and must
register themselves and their clients with
a marketing representative in order to receive
the benefits of a co-operating broker.
Phone registration after the customer's initial visit
to the property will not be accepted. We
appreciate your cooperation. |
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