| First Name: |
* |
| Last Name: |
* |
E-mail Address:
(This will also be your username) |
* |
| Current Address: |
Street
*
City
*
State
*
Zip
* |
| Would you like to be contacted by a SEDA Home Advisor? |
Yes
No * |
Contact Phone:
(please include area code) |
* |
| Best Time to Contact: |
* |
Other Phone:
(please include area code) |
|
Type in your password selection:
(4-8 characters) |
*
|
Re-type in your password selection:
(4-8 characters) |
* |
| Area of interest: |
* |
|
Please select the price range you are interested in: *
|
|
$100,000 - $150,000 |
|
$301,000 - $350,000 |
|
|
$151,000 - $200,000 |
|
$351,000 - $400,000 |
|
|
$201,000 - $250,000 |
|
$401,000 - $450,000 |
|
|
$251,000 - $300,000 |
|
$451,000+ |
|
| When are you looking to move into your new home? |
|
Will you be relocating from a different city
to the Jacksonville, Florida area? |
Yes
No |
| Would you like information about the area?: |
Yes
No |
| What other home builders are you considering? |
|
| |
|
|
| |
