First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail:

Best Time to Call:	Morning after 9am Afternoon Evening to 7pm 9am to 7pm Please don't phone
The Property is in the county of:  Dade  Broward  Monroe
The price of the property  is:	Under $100,000 $100,000 to $150,000 $151,000 to $200,000 $201,000 to $300,000 $301,000 to $500,000 Over $500,000
I plan to purchase or sell  in:	3 Months 6 Months 12 Months ASAP See my comments
The address of the property to be sold or purchased is:
I specifically want information on::
You will receive a response from us within two business days.  Thank you for your interest.