Suzie Etchart

So that we may better assist you in the purchase of your new home, please fill out the form below. We will contact you very shortly.

First Name

M.I.

Last Name

Spouse (optional)

Street 1

Street 2

City

State

Zip

Phone #

Work #

Best Time To Contact Me

Your comments

Items Below Are Optional:

Primary Interest(home?)

New

Used

Either

Payment Choice:

Cash

Loan

Lease

Unsure

Price or Payment Range:
(i.e. $100,000-125,000 or $750-900/mo.)

Desired Location
(i.e. Rural,Town,Beach)

Our Listing Number (if known)

Number of Bedrooms & Baths:
(i.e. 3 & 1.5 or 4 & 2)

Home Type:
(i.e. 1 story, 2 story)

Home Age Limit:
(i.e. 20years)

Options, Must Have:
(i.e. fireplace, view,beach access)

Home Purchase Date:
(i.e. within 30 days)

Would you like us to contact you by Phone

Thank you for considering us