PROSPECT INFORMATION FORM

Date of Inquiry:

Friday, February 10, 2012

Name:

Daytime Phone:

Evening Phone:

Cell Phone:

Fax:

Email:

Street:

Suite:

City:

State:

Zip:

How did you hear about Powers Park Lofts?

Do you presently own a home? Yes No

Floor Desired:

First
Second
Third
Fourth (penthouse)

Configuration Desired:

One Bedroom plus den
Two Bedrooms
Two Bedrooms plus den
Three Bedrooms
Other

What is your possible price range?

$150,000-$200,000
$200,000-$225,000
$225,000-$250,000
$250,000-plus
Other

Special Needs or Preferences:

Move-In Date Desired:

Additional Comments:

Add to Mailing List? Yes No