Requesting Info from Southwest Estates

Dear Southwest Estates:
I am interested in learning more about your homes. Please contact me with further information at your earliest convenience. Thank you.

Full Name:
Postal Address:
City:
State:

Zip/Postal Code:
Day Telephone:		()-
Night Telephone:		()-
E-mail:

This location does not service the area indicated in
your address. Are you interested in a home in
a location in Southwest Estates?

Yes
No

When is the best time to contact you?

What size home are you interested in?		(in square feet)
Number of bedrooms
Number of bathrooms

How soon do you plan to purchase a new home?
What is your price range?
Financing Status:
Type of home

Comments / Questions:

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Requesting Info From:

Southwest Estates - Worth, IL