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Daniel Collins  -  email
Joanne Kupfer  -  email
Vicki Lind  -  email

Jeff Collins  -  email

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First Name:	Last Name:
Salutation: Mr. Mrs. Ms. Dr. Hn.	Street Address 1:
Street Address 2:	City:
State:	Zip Code:
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Email Address (Primary)	Email Address (Secondary)
Primary Contact: Home Phone Work Phone Mobile Phone Fax Email (primary) Email (secondary) Time To Contact: Morning Afternoon Evening Weekends
Please tell us how you heard about Havasu Foothills? Home Show in Havasu Newspaper Magazine (Boating) Magazine (Real Estate) Web Search Web Site Banner Add Boat Show Billboard/Signage Driving By Realtor Friend or Relative Other describe below:	(If other please specify):
What is your price range for a lot and home combined? $500,000-$600,000 $600,000-$750,000 $750,000-$1,000,000 $1,000,000 and up	What type of residence are you interested in? (select all that apply) Lot and Custom Home Finished Home
If one of our Models which one? Besalu Girona Matador Casa Largo Navarra Soria	Would Havasu Foothills be a: Primary Residence Secondary / Vacation Residence
What Home and Community features are important to you (select all that apply) Views Large Lot (1+ acre) Boat Garage RV Garage Privacy Planned Town Center Walking/Hiking Trails Outdoor Parks Dining Coffee/Breakfast Gym/Workout Tennis Swimming Pool Arts and Crafts	What is your time frame for purchasing a home? 0-3 Months 3-6 Months 6-12 Months 1 year plus Sell Current Home
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