| 1. Title |
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Mr.
Mrs.
Ms.
Miss
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| 2. Name* |
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| 3. Address* |
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| 4. City* |
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| 5. Postal Code* |
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| 6. Phone* |
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| 7. Email* |
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| 8. Which development are you interested in? |
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| 9. How did you first learn about Kooney Homes? |
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Other:
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| 10. Which type of home will best suit your lifestyle? |
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Other:
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| 11. What price range are you interested in? |
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| 12. What is your present status? |
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Other:
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| 13. What is your buying interest? |
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| 14. Are you interested in a home for your own residency, investment, or both? |
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| 15. Are you currently working with a realtor? |
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Yes
No |
| 16. Please provide us with any specific comments you may have. |
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