Guest Registration
Request Information

Fields below that are marked with * are required.
		Date:
* Name:
* Address:
* City:		* State:		* Zip:
Home Phone:		Cell Phone:
* E-Mail:

I am Interested in:
Housing Type		Sq. Footage		Price Range		Availability
	Single Family Home		1200 - 1500		$200,000 - $250,000		Inventory home
	Town Home		1500 - 2000		$250,000 - $300,000		Built for me
	Maintenance Free Villa		2000 - 2500		$300,000 - $400,000		Either
	Age Restricted Adult Community		2500 - 3000		$400,000 - $500,000
	Condominium		3000 - 4000		$500,000 - $600,000
			4000 Plus		$600,000 Plus

Status:
Reason For Purchase		Move Date		Current Status		Current Home For Sale?
	Relocation		Immediate		Own a Home		Yes
	Empty Nester		Less than 6 months		Rent		No
	First-time Buyer		More than 6 months				Already Sold
	Moving Up		Just Looking				N/A
	Scaling Down
	Second Home
	Ready for a Change

Demographics:

Family
Information

Age
Group

# of
Children

Children’s Ages

	Family
	Couple
	Co-Owners
	Single
	Single Parent

	18-29
	30-39
	40-49
	50-59
	60-69
	70+

	0
	1
	2
	3
	4+

	Pre-School
	Elementary School
	Middle School
	High School
	College
	N/A

How did you hear about Connerton?
	Web Site		Billboard/Signage		Major Newspaper
	The Laker		Friend/Relative		Parade of Homes
	Special Event		New Homes Guide		Direct Mail
	Realtor >>>


	Builder >>>
	Resident >>>
	Other >>>

Comments/Questions: