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Bethesda Home Buying Seminar
Online Reservations

To be notified about the Next Home Buying Seminar, scheduled for November 2004, complete this easy, fast form!

Please provide your name and contact information. Also, we would appreciate your response to the questions regarding your home buying plans.

Bethesda Home Buying Seminar
November 2004
(Details to follow)

First Name

Spouse's First Name

Last Name

Spouse's Last Name

Contact Information
Home Street Address
City/State/Zip


Home Phone		Home FAX
Home e-mail		Mobile phone

Occupation

Work Phone		Work e-mail

Please tell us about your home buying plans

You plan to purchase a home:
In a Year
In Six months
In Three months
In One month
Today!

Will this be your Primary Residence?
Yes
No

Have you ever owned a home in Maryland?
Yes
No

Are you already working with a Real Estate Agent?
Yes
No

Have you already been PreApproved for a loan?
Yes
No

If yes, how much?

Have you already found a home to buy?
Yes
No

If yes, what is the address?


Are you a U.S. Citizen? Yes No

What is you Annual Income Range?		What is your current Rent Payment?
Below $50,000
$50,000 to $75,000		How did you hear about the Home Buying Seminar?
$75,000 to $100,000		How did you hear about the Home Buying Seminar?
Over $100,000