First Name:
(Required)
Last Name:
(Required)
Street Address:
City:
Country:
State/Providence
Zip / Postal Code:
Day Telephone:
(Required)
Evening Telephone:
(Required)
(e.g."8634242309")
(e.g."8634242309")
Cellular Telephone:
Email Address:
(Required)
(e.g."8634242309")
What is your reason for considering a purchase? Choose the most relevant
one of the following:
Move to Florida in the future
Family vacations
Investments
Other
If other, please describe:
What type of property are you seeking? Select your preference:
Single family home
Condo
Townhouse
Not yet decided
What features are essential? Select one or more of the following:
Private screened pool
Close to theme parks
Conservation/water views
Golf community
Other:
If other, please decribe:
Bedrooms?
1
2
3
4
5
5+
Bathrooms?
1
2
3
3+
Price Range?
- Select -
$50,000
$100,000
$200,000
$300,000
$400,000
$500,000+
$1,000,000+
To
$60,000
- Select -
$70,000
$80,000
$90,000
$100,000
$200,000
$300,000
$400,000
$500,000
$500,000+
$1,000,000+
Tell us your time frame for purchasing?
- Select -
Immediately
within the Month
3 Months
6 Months
1 Year
What extra information should we take into account?