Please complete the form below to let us know what type of home you would prefer to own.  The fields with  a + must be completed.  We look forward to working with you.

+First Name +Last Name

+Street Address

+City
+State
+Zip Code
    

+Phone
Cell Phone

+E-Mail Address

Number of Bedrooms		 Number of Baths
3 4 5 6 2 3 4

Price Range		 Square Footage

Preferred Location

When would you need to move into the home?

Any additional features/amenities that you are interested in?


 


 

Sheila Marchman, Realtor®
Allegiance Real Estate Services, Inc.
128 John King Rd.; Suite 6  Crestview, FL 32539
Office: (850)423-7991   Fax: (850)423-7993   Cell: (850) 543-4742

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