How soon do you wish to move?    Immediately    Within three months    Within the year

Have you pre-qualified for a mortgage?  Yes    No

Have you visited Colorado Springs?     Yes    No

What price Home?

Select Range 150,000 to 200,000 200,000 to 250,000 250,000 to 300,000 300,000 to 400,000 400,000 to 500,000 over 500,000      

How many bedrooms?         

How many baths?           

Specialty rooms?            

Garage?                          

Type/ location         Golf course home    Condo   Ranch   Two story   Townhouse

                                    Luxury home       Investment Property   

Enter your comments and questions in the space provided below.

Tell me how to get in touch with you:

	Name
	Street
	Apt
	City
	State   Zip
	E-Mail
	Phone

Please call me as soon as possible with this information.