50 Allwood Green Boulevard
Ormond Beach, FL 32174
Phone:1.386.677.4077
Fax: 1.386.677.3306
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Tell us About Yourself
Full Name
Street Address
Address (cont.)
City
State/Province
Zip Code
Phone Number
E-mail
I will be ready to retire:
Already Retired
Within 1 Year
Within 2 Years
Over 2 Years
We are interested in buying a:
Retirement Home
Second Home Now
Second Home Now & Retire Later
We are prepared to purchase:
Now - 3 Months
3 - 6 Months
6 - 12 Months
Contact By:
Phone
Email
We presently:
Own
Rent
Need to sell existing home?:
Yes
No
Price range we are interested in:
$ 50,000 - $ 70,000
$ 70,000 - $ 90,000
$ 90,000 - $ 110,000
Over $ 110,000
Enter any additional comments or questions: