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Name:
Address:
City
State:
Zip:
Home Phone:
Business Phone:
Cell Phone:
Email:
Please complete the following information so we may serve you better:
1) Is this your first visit to Poinciana Homes?
Yes     No
2) Which age group do you fit into?
<30    31-40     41-55    55+
3) How soon are you planning on purchasing your new house?
1 month    3 month    6 month    1 year    2 year
4) What style homes do you prefer?
Condos     Townhouse    Single Family
5) Number of bedrooms?
2    3    4     5
6) What price range are you interested in?
Under $100,000
$100,000 to $125,000
$125,000 to $150,000
$150,000 to $200,000
Other:
7) Do you presently?
Own a home     Rent
8) Do you need to sell before purchasing?
Yes     No
9) Is your home currently for sale?
Yes     No
10) What down payment would you like to give?
Less than 5%
5%
10%
20%
Other:
Additional comments or questions:

Home / About Us / Communities / Contact Us

Poinciana Homes / 3971 Southwest 8th Street / Suite 205 Web Design Company
 Coral Gables, Florida, 33134 / info@poincianahomes.com
P: 305.444.6716 / F: 305.444.9084