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Name:	*
Address:
City:
State:
Zip/Postal Code:
Phone Number
Fax Number:
E-Mail:	*
Are you familiar with the Keys?		Yes No
Preferred Keys
Waterfront preferred		Yes No
Boating Draft		NA 1ft 2ft 3ft 4ft 5ft and up
Description of home or property that interests You:
First time buyer		Yes No
Minimum bedrooms		1 2 3 or more
Minimum baths		1 2 3 or more
Price range of property:		Choose One Under $50,000 $50 - $100,00 $100 - $150,000 $150 - $200,000 $200 - $250,000 $250,000 Plus 500,000 to 750,000 750,000 to 1 mil 1 million and up
How soon are you planning to buy property
Best way to contact you?		E-mail Phone
What is the best time to contact you:
What kind of Information are you interested in		Mtge/lenders Schools Community info Other
If other please describe
Please send me your local information packet		Yes
Please send relocation information		Yes
Please contact me ASAP!		Yes
Security Code	*