Buyers VIP Free Membership Application

Street Address:

City: State: Zip:

E-mail Address: Fax:
Area Code and Phone:

Type of House:- Rambler - Split-Level - Multi-Level - Two Story

- Condominium - Mobil Home - Other

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Bedrooms: Bathrooms: Square Feet Minimum:

Lot Size:(in acres) .01-.25 .25-.50 .50-.75 .75-1.0 1.0+ Doesn't Matter

City or County of Preference:

Other Details that are important:

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How would you like me to respond? US Mail Email Fax Phone Call

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