Doreen Eubank, Broker Associate, CRS

Thank you for your interest.  Please fill-in all of the  information.

First Name:
Last Name:
Address:
Unit Number:
City:
State:
Zip Code:
Home Telephone:
Office Telephone:
Other Telephone:
Is it okay to call you at 
home?
Is it okay to call you at work?
What is the best time of day 
to reach you?:
EMAIL ADDRESS:
I plan to purchase a Home:
(YES OR NO)
I need an option to buy program:
(YES OR NO)
I plan to live in the following area
of Metro Denver:
I would like information for the City
of Denver only: (YES OR NO)
I need information for the following
city:
I need information for the following
county:
My price range is:
I plan to buy a:
I will need the following minimum
square footage for my home:
I would like a finished basement:
(YES OR NO)
I would like a mountain view:
(YES OR NO)
I would like the following number
of bedrooms:
I would like the following number of
spaces for the  garage:
I would like a home that is a;
I need room for my Recreational Vehicle
parking on my Property: (YES OR NO)
I would like to look at:
I need information from a Mortgage
Broker: (YES OR NO)
I need a handicap accessible home: (YES OR NO)
PLEASE INDICATE ANY SPECIAL
CIRCUMSTANCES I SHOULD BE
AWARE OF, SUCH AS;
Seeking employment elsewhere without
current employers knowledge.
(YES OR NO)
Divorcing, please do not talk with my
spouse. (YES OR NO)
Do not leave messages with anyone else:
(YES OR  NO)
Do not leave message on answering
machine: (YES OR NO)
IF YOU ARE RELOCATING WITH YOUR
EMPLOYER, PLEASE COMPLETE THE
FOLLOWING;
Name of Employer:
Dates you will be in Metro Denver;
Do you want a complete relocation package?
(YES OR NO)
WHO IS YOUR RELOCATION
CONTACT AT YOUR HOME?
Name and Telephone Number;
WHO IS YOUR RELOCATION
CONTACT IN METRO DENVER?
Name and Telephone Number;

You want the following questions answered:

THANK YOU FOR YOUR INTEREST IN MY REAL ESTATE SERVICES.