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*Full Name:
*E-mail:
*Phone Number:
How would you like to be contacted? E-Mail  Phone
Do you currently own a lot? No   Yes
If Yes, where is your lot?
(Subdivision, area of town)
If No, where are you looking for a lot?
(Subdivision, area of town)
What is your time frame? Not Sure
 Immediately
 6 months
 Next Year
What is your new home price range (not including lot cost) Not Sure
 Under $200,000
 $200,000 to $500,000
 $500,000 to $800,000
 $800,000 to $1 Million
 $1 Million to $2 Million
 $2,000,000+
How did you hear about the seminar? Our Website
 Direct Mail
 Internet Search
 Radio
 Word of Mouth
 Newspaper
 E-Mail
 PIB Salesperson
 Other
Seminar Date:
(e.g., 06/11/2011)
Have you visited a PIB community before? No   Yes
If Yes, where?
(Subdivision, area of town)
Questions or Comments: