Name: __________________________________________________________________
Address: ________________________________________________________________
Phone (Home): _________________ Phone (Work):_____________________________
Phone (Cell): __________________ Email Address: ____________________________
What is your maximum commute time? ______
Do you have any hobbies, interests or lifestyle factors that would affect your housing needs? _______________________________________________________________
Check up to five descriptions that reflect your priorities:
__Urban environment __Close to an airport __Kid-friendly __Fireplace __Suburbs __Low-maintenance yard __Close to Public Transit __Master Suite __Country-living __Big lot-green thumb __Condo __Chef�s Kitchen __Close to work __Views are a must __Single-family home __Wheelchair Access __Quiet __Neighbors keep out __Fixer-Upper __Dbl. Car Garage __Great Schools __Neighbors welcome __Dialed-&-Done
Check the style of home that appeals to you most: __Traditional __Contemporary __Colonial __New construction __Old & Charming __Ranch __English/Tudor __Bungalow __Number of Bedrooms ___ __Number of Bathrooms ______ Most important room in the house is the ____________________
I am pre-approved for $__________________.
Print and fax to 503 226-6227; attn: Suzanne Goddyn
