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Home Questionnaire
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I'd like to know more about you and what type of home you're looking to purchase. If you'll fill out the information below I'll respond as soon as possible with information about homes for sale that meet your needs.

I know you value your privacy as much as I do. The information you submit on this form is used only by GAHOMES.COM for the purpose of giving you more information on homes for sale that meet your needs and contacting you if you'd like to sell your home. This information will not be sold or given to any other company and is for the sole use of GAHOMES.COM.


Tell me about yourself!

* fields are required

* Name:
* Address:
Address:
* City: * State: * Zip:
* Home Phone: Business Phone:
Fax Phone:
* E-mail:


Describe the home you'd like to purchase.
Select as many items that apply for each question.
Hold the Shift, Ctrl or (apple) key and click mouse button to select multiple items.

Price Range in THOUSANDS (Example $120-150):

Type of home: Location:

Other County:

Number of Bedrooms: Number of Baths:

Number of Children: Age(s) of Children:

Style of Home: Lot Size:

Basement: Stories:

Age of Home:

Special:

Do you want RE/MAX to Pre-Qualify you?

Would you like a Mortgage Broker to contact you?

Have you already contacted a Real Estate agent in the Atlanta area?

When do you plan on being in the Atlanta area looking for a home?

How did you hear about my web page?

Please enter any comments or additional information below.

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