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THEN CLICK SUBMIT AT BOTTOM

THE MORE PRECISE YOU ARE THE CLOSER WE CAN COME TO YOUR EXACT DESIRES

First Name:

Last Name:

Phone:

Email:

Are You Currently Working with another Realtor?

Do you wish to be contacted by: Phone Email

Will this be a: Primary Home Vacation Home Vacation now-primary later

Are you ready to buy:

PREFER: Daytona: Daytona Shores: Ormond: Other

Price Range you want me to look in:

Will this be a cash purchase:

If Mortgage, have you been pre-approved:

 

Preferred Number of Bedrooms:

IF YOU ARE LOOKING FOR A CONDO

Direct ocean:

Do you have Pets:Dog Cat One Two Under 10 lb. 10-20 lb. Over 20 lb.

Do you wish to rent it when not using it:Yes No

IF YOU ARE LOOKING FOR A HOUSE

Beachside: Mainland

Garage: One Car Two Car No garage required

Pool:

Do you have any special needs or desires?

Any Other comments?:

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