| | *
= required field |
| Salutation: |
|
| First Name: *
| |
| Last Name: *
| |
| Address:* |
|
| City:*
| |
| State:*
| |
| Zip:* |
|
| Phone:
| |
| Email:*
| |
| Age: | |
| Family
status: | |
When do you plan
to move? |
|
| Size Preference: | |
| Price Range: |
|
| Do you currently rent or own? | Rent
 Own
|
Do you ride the Metra?
(Please check all that apply) | Daily
Leisure activities
Once
in a while
Not at all
Other |
How did you hear
about Prairie Town Center? |
|
| If
other, please specify: | |
| Reason for purchase: | |
Other
communities
considering: |
|
| Additional comments: |
|
| |
|
