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Registration Form
Registration Form - Statement of Interest
Please provide as much detail as possible.
This information is confidential and will not be used in any
mailing lists or for any purpose other than to assist us
in compiling the correct information.
First Name
Last Name
Number / Name and Street
Town / District
County / State
Country
Your full postal/zipcode
E mail (please make sure this is valid)
Telephone (please include dialing codes and international code if out of UK)
home
office
Mobile
Fax
Property Information
Type of Property
please select
house
condo
business
land
other
Location
please select
Disney Area
East Coast
West Coast
Other
No. of Bedrooms
please select
1
2
3
4
5
6
No. of Bathrooms
please select
1
2
3
4
5
6
Private Pool
please select
Yes
No
How soon are you looking to buy?
please select
immediately
one - three months
four - six months
six - twelve months
Preferred Local Facilities
please select
golf
theme parks
both
none
other
Planned Usage
please select
owner use only
part rental preferred
part rental essential
rental only
other
Price Range
please select
£100,000 - £125,000
£125,000 - £150,000
£150,000 - £200,000
£200,000 - £300,000
over £300,000
Will you require a mortgage?
please select
cash purchase
80% mortgage
less mortgage
Area of Property
please select
Glenbrook
Kokomo Bay
Orange Tree
Indian Creek
Calabay Parc
Westbury
Southern Dunes
Windsor Palms
Emerald Island
Terra Verde
Venetian Bay
Hampton Lakes
Town Center
Lake Bluff
Windwood Bay
West Haven
How much down payment do you have?
When is your next visit to Florida?
day/month/year
Can we help with your travel or accomm arrangements?
please select
yes
no
Would you be interested in a Free Inspection Trip?
please select
Yes
No
(for purchasers only)
Choose the month you would like to inspect
please select
May 2003
June 2003
July 2003
August 2003
September 2003
October 2003
November 2003
December 2003
Do you require visa information
please select
Yes
No
Please add any additional information here!
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