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Please fill out the following form to enable us to help better serve you.
Required fields are marked with *
Name: *
Email: *
Phone Number: *
Zip Code: *

Have you visited one of our model homes?
No* Yes*    
  If Yes:
  Which Model? *
  Salesperson spoken with: *
Do You Currently:      
Own a Home Own a Condo Rent  

How Soon Are You Looking To Purchase In This Area?
30 Days    60 Days    90 Days    6 months    1 Year or Longer

Where Have You Seen Us?
Television Radio Magazine Direct Mail
Broker
     East/Sentry		 Billboard/Signages Word of Mouth  
Harmon Homes The Real Estate       Book Website: www.SummitHomesLA.com
Realtor    Name:   Company:
Referral: Newspaper:
Search Engine: Other:

What is Your Annual Family Income?
Under $24,999 $75,000 -
     $99,999		 $200,000 -
     $249,999		 $350,000 -
     $399,999
$25,000 -
     $49,999		 $100,000 -
     $149,999		 $250,000 -
     $299,999		 $400,000
      or Higher
$50,000 -
     $74,999		 $150,000 -
     $199,999		 $300,000 -
     $349,999		  

    

Disclaimer:
Summit Contractors collects and maintains your personal information in order to respond to your inquiries concerning our properties. At no time to we distribute your contact information to any other parties.

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©Copyright 2005 The Reine Companies
Prices, Features, and Specifications subject to change without notice.
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