First Name:

Last Name:

Email:

Phone Number:

Fax:

What Price Range?

Will this property be a: 

Primary Residence   Second Home

Investment Property   1031 Exchange   Other 

Property Type: (check all that apply)

Single Family   Condo   Town home   Loft  

Commercial   Land   Multi Family   Condo Conversions

Income Properties    Co-Op

Other: (please specify below)

What Location Features Are Important To You?: (check all that apply)

Oceanfront   Beachfront   Beach Area   Downtown  

On New River   Near Interstate   Waterfront

Suburban   Near Shopping   Las Olas Area   Gay-Friendly

Other: (please specify below)

What Waterfront Features Are Important To You?: 

(check all that apply)

Ocean View   Intra coastal View   Lake View   Water View  

Ocean Access No Fixed Bridges   Ocean Access Fixed Bridges

Deeded Dock   Community Dock

What Age Property Interests You?: (check all that apply)

Pre 1950's   Mid-Century Modern   1970's   1980's  

1990's   Less Than 10 Years Old   Less Than 5 Years Old

New Construction   Pre Construction

What Condition Interests You?: (check all that apply)

New   Newly Remodeled   Needs Cosmetic Improvements

Needs Partial Renovation   Needs Total Renovation

If a condo, co-op, loft or town home, what building features are 

important to you?: (check all that apply)

High Rise   Low Rise   Fitness Center

Over 55 Only   Gay Friendly   Pool   Security Guard

Gated   Garage Parking   Covered Parking

Minimum Number Of Bedrooms:

1   2   3   4   5

Minimum Number Of Bathrooms:

1   2   3   4   5

Do You Have Any Pets? Is so, please describe breed, size and weight:

When do you plan to purchase?

Now   Within 30 Days   Within 60 Days   Within 90 Days

When The Right Property Is Found   Undecided

Do you need to sell another property first?

Yes   No   

Have You Been Pre-qualified for financing?

Yes   No   

Do you want me to help with financing?

Yes   No   

Would You Like To Subscribe To My Monthly Newsletter?

Yes   No   

How Did You Find My Website?

Web Surfing   Other Website   Personal Recommendation   

Miami Herald   Sun Sentinel   New York Times   Advocate

Other Magazine   Radio   Post Card Or Mailer   

Client Of Mine

Other (specify below)

Question, Suggestion, Comments: