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Home Buyers Wish List

If you're planning to visit or move to the Phoenix area,
please fill out this form and send it to us so we can serve you better.

Please provide the following contact information:

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

Best Place to Contact you:  Home  Work

When Are you planning to buy?

What are you looking for in a home environment?


Number of bedrooms?      Number of Bathrooms ?     Amount of acreage?


Please Select any of the following options:

Swimming Pool
 Views (City, Mountains)
 Horse Property
 Homeowners Association
 Security
 Privacy
 Seclusion
 Motorhome/RV parking
 New Construction
 Established neighborhood
 Single family home
 Condo/Townhouse
 Mobile home
 Land Only

What price range are you looking for?

Have you any special needs ?


How many people are in your family ? 

If any children, how old are they?

What schools do they attend? Elementary Junior High  High School Public Parochial

How many pets are in your family?

What kind of pets do you have?

Do you have any additional comments about your family that you would like to share ?


What are your hobbies and or interests?

When do you plan to move?

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Palmcroft Realty
P. O. Box 80261,
Phoenix, AZ  85060
 Phone: (602) 538-2064
Fax: ((602) 840-2967
Email: info@phoenixgayagent.com
Phoenix AZ Gay Real Estate

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