| Name:
|
|
|
|
| Address:
|
|
City: |
|
| State:
|
|
Zip Code: |
|
| Day
Phone: |
|
Evening
Phone:
|
|
E-mail: |
|
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:
Within 6 months
6 months - 1 year
After 1 year
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 |
|
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 200,000
200,000 - 250,000
250,000 - 300,000
300,000 - 350,000
350,000 - 400,000
Over 400,000 |
|
Are you currently working
with a broker?
Name:
Firm:
|
Principal reason for moving:
Transferred to area
Present residence unsuitable
Tired of paying rent
Other
|
|
Frequency 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. |
|
|
|
