Customer Information Form


General Information:

Is this your first visit?
    Yes
   No
I am interested in:
    Primary Residence
   Second Home
    Investment    
How would you describe your intent?
Plan to buy:
    Now     3 - 6 Months
    6 - 9 Months 9 - 12 Months
Are you working with a realtor?
    Yes     No
   Realtor Name:
What is your price range?
$275,000 - $325,000     $325,000 - $375,000     $375,000 - $450,000    
$450,000 - $550,000     $550,000 - $650,000     $650,000 - $850,000
How did you hear about us?
    Bench Sign     Drive By     Guide to Homes / Daytona     Homes and Land
    Billboard     Friend     Guide to Homes / NSB     Realtor
    The Orlando Business Journal     Web Site

    Other:

Would you like to receive an Oceanwalk Condos Information Package?
    Yes
   No

Personal Information:

    Name:      Date:

    Address:

    City:     State:      Zip Code:

    Home Phone:     E-mail Address:

    Sales Representitive:

   Comments:
   

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