First Name   Last Name

Phone Number Email Id

Address

City   State   Zip

Preferred Method to Contact Me

Square Feet of the home

Number of Bedrooms   Number of Bathrooms

Garage Size      Lot Size

Age of Home    Style of Home

Number of Floors   Fireplace

Type of Neighborhood   Pool / Jacuzzi

Air Conditioning   Storage Space

Dining Room   Eat in Kitchen

Also think about the convenience to:

Grocery Stores

Schools

Shopping

Hospital

Doctor / Dentist

Parks

Church

Airport, highways & Public Transportation

How Close or Far from Water

Special Considerations & Comments

Please submit your "wish list" and I will periodically send active listings that match your
requirements and requests. Your email address will not be used for any other reason and 
will be kept confidential. If you for any reason do not wish to receive any more information
please inform me of your decision and your email address will be deleted from my database.

When you are ready to invest in real estate, I am available to guide you through
a virtually stress free real estate experience.

Thank you again for visiting my website. Heike