Please provide the following Contact and Dream Home Features:

	Contact Info
First Name*	Street
Last Name*	City
Work Phone	xxx-xxx-xxxx     State
Home Phone*	xxx-xxx-xxxx      Zip
E-mail*
	Dream Home Features You Would Like
Preferred Area	or Zip Code
Type of Home	Single Family Home Town House Condo Multi Family Other Mobil Home
# of Bedrooms	1 2 3 4 5+    Baths 1 2 3 4+    Half Bath 0 1/2    Garage 1 2 3
Sq. Ft.	500-1000 1000-1500 1500-2000 2000-2500 2500-3000 3500+    Home Age 1-3 Years 3-5 Years 5-7 Years 7-10 Years Older House is Ok
Pool	Yes No   Water Front Yes No
Condition of Home	Fixer Upper OK Very Good Good Fair Excellent
	I can Help you Secure Financing
Your Income	Your Partner's Income
Your Credit Score	Your Partner's Score
Down Payment available	Amount of Financing Needed
Please Note	your information is100% CONFIDENTIAL