I am interested in the following area(s):

If so, what type? (Please choose at least one option.)

2. Home Information:
Price Range? (Please choose one.)

Type? (Please choose one.)

Size? (Please choose one.)

Bathrooms? (Please choose one.)

Age? (Please choose one.)

Floor Plan? (Please choose one.)

What type of Garage? (Please choose one.)

When I would like to purchase? (Please choose one.)

Need to sell my present home? (Please choose one.)

Prequalified by a lender? (Please choose one.)

3. Contact Information: (Required Fields denoted by *)

E-mail address:* (AOL members please include after your screen name)

Phone Number:*

When to contact me:*

The best time to reach me:* Example: 6 - 8 PM

I can receive information by fax: (Please include area code.)

4. Any other additional information that will help in the search of my Dream Home. Include any special features or needs that are important.

5. The best time to view homes?

6. Please e-mail me a MLS list of Dream Homes in my price range that match my specifications and needs. If I would like the MLS report mailed, my mailing address is below. I undertand this report should arrive within 5 business days.

Postal Address 1
Postal Address 2
State Zip


Alice Pope
RE/MAX Associates Northeast
2940 Oak Street, Kingwood, TX 77339
Direct Numbers: 281-348-3054 / Fax 281-358-6142 / Cell 281-413-3936


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