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Preferred Method Of Contact	-Select- Email Address Secondary Email Cell Phone Home Phone Work Phone
How did you learn about our Neighborhood?	-Select- Currenty Own a Standard Pacific Home Referral Web Site Newspaper Magazine TV Radio E-mail Direct Mail Signage Billboard Realtor Info Center Other Projects Special Events Other
First Name   Last Name Street   City State -Select- Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming International   Zip Cell Phone   Work Phone E-Mail Address
Current Home Situation is?	-Select- Own Rent Living with Relatives
Interested in Moving Within	-Select- 0 to 3 months 4 to 6 months 9 to 12 months Over a year
Reasons for Moving	-Select- First Time Home Purchase Need Smaller Home Want New Home Job Transfer/Change Need Larger Home Neighborhood Other
Desired Price Range	-Select- Under $100,000 $100,001-$200,000 $200,001-$300,000 $300,001-$400,000 $400,001-$500,000 $500,001-$600,000 $600,001-$700,000 $700,001-$800,000 $800,001-$900,000 $900,001-$1,000,000 $1,000,001-$1,100,000 $1,100,001-$1,200,000 $1,200,001-$1,300,000 $1,300,001-$1,400,000 $1,400,001-$1,500,000 Over $1,500,001
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