Real Estate Lead Capture Form
Real Estate Lead Capture Form
Please complete this form to help us understand your property needs and preferences.
Personal Information
Name
Please provide your email address.
Phone Number
Preferred Contact Method
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Phone
-
Email
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Text
Property Preferences
Property Type
Preferred Location(s)
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City
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Neighborhood
Budget Range
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Below $250,000
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$250,000 - $500,000
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$500,000 - $1,000,000
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$1,000,000 - $2,000,000
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$2,000,000+
Bedrooms Needed
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1
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2
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3
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4+
Bathrooms Needed
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1
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2
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3+
Additional Information
How soon are you looking to purchase?
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Immediately
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Within 3 months
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Within 6 months
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Not sure
Are you pre-approved for a mortgage?
Additional Requirements/Preferences
Free text box for additional details.
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