Would you like to schedule a free consultation?  Yes    No

How soon do you wish to move?    Immediately    Within three months    Within the year

Have you pre-qualified for a mortgage?  Yes    No

What price Home?

Select a Range 100,000 to 150,000 150,000 to 200,000 200,000 to 250,000 250,000 to 300,000 300,000 to 400,000 400,000 to 500,000 over 500,000      

How many bedrooms?         

How many baths?           

Garage?                          

Type    Single Family   Multi-Family

Style    Ranch  Two Story  Multilevel

Subdivision Amenities  Pool    Tennis  Golf   Lake

Are you familar with the Atlanta area? yes

Do you know the area that you wish to live in? 

Do you have school requirements? 

Enter your comments in the space provided below; the more information you give me, the better guidance I can give you.

Please provide the following contact information:

Name
Street address
Address (cont.)
City
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Home Phone
FAX
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