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Real Estate Buyer Information Request Form

myContactForm.com makes it very easy to create a real estate buyer information request form like the sample form below. The form below is available as a template when using the myContactForm.com form wizard which can be customized to meet your specific needs. The form wizard walks you through the entire process of building the form and then outputs a snippet of HTML code for you to place on your web site. No special servers or programming required! Additionally, you can use myContactForm.com to create 100% customizable forms. To get started, sign up for your free account here.

Send To: *
Nick Ladd (Office Manager)
Megan Jefferson (Realtor)
Henry Cabrera (Realtor)
Sam Peterson (Mortgage Broker)
Kendra Carlson (Mortgage Broker)
Your Name: *
E-mail Address: *
Home Phone: *
Business Phone:
Mobile Number:
Street Address:
City:
State:
Zip Code:
Do you have a preferred school district?
Do you currently own or rent?
Own
Rent
Other
What is your time frame for moving?
How many bedrooms do you need?
1
2
3
4
5+
How many bathrooms do you need?
1
1 1/2
2
2 1/2
3
Do you require covered parking?
Yes
No
If so, what type?
Are you looking for any special features in a new home?
What price are you considering?
Have you been approved for a mortgage?
Yes
No
Do you need to sell a home before you buy?
Yes
No
Any other comments regarding your home search?

Verification Code:
Enter Verification Code: *

* Required