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Title
Mr.
Ms.
Mrs.
Miss
Mr. & Mrs.
Dr.
First Name
Last Name
Home Phone
Work Phone
Address
City
Province
Postal Code
Email
Preferred Contact
Home Phone
Work Phone
Email
Mail
How did you hear about Benson & Hall?
Local Newspaper
Site Signage
Direct mail
Friend/Relative
Intracorp Website
New In Homes web site
Internet search engine
Other
What price range are you interested in?
$175,000 - $200,000
$200,000 - $250,000
$250,000 - $300,000
$300,000 - $350,000
Over $350,000
How many bedrooms are you looking for?
2 bedrooms
3 bedrooms
4 bedrooms
When do you anticipate making a purchase decision?
0 - 3 months
3 - 6 months
6 - 12 months
> 12 months
Do you presently own your own home?
Yes
No
Current residence?
Apartment
Townhouse
Single Family
Your approximate age group
Twenties
Thirties
Forties
Fifties
Comments
This information remains confidential within Arten Group and assists us with market research for all of our Arten Group Developments. Be assured that none of this information is sold or distributed to any other parties.