Newspaper           Special Promotion          Signs            Fellow employees
Friends: Who?
Real Estate Agent: Who?
Noticed from road

Do you presently :    Own        Rent

When would you like to purchase a new home?
3-6 months     6-12 months    12 months or longer

Have your own lot? Yes     No        Looking for a lot?   Yes     No

What price range to you feel comfortable in?
$600,000-$650,000           $650,000-$700,000
$700,000-$750,000           $750,000-$800,000         
$800,000-$850,000           $850,000-$900,000
$950,000-$1 Million         $1 Million - $1.4 Million

Name:
Address:
City: St.Zip:
Home Phone:
Business Phone:   
Fax Number:
Email:

Thank you for taking a few minutes to complete this survey....  R. A. Kot Homes.

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