*Your Name

*Your Phone Number

*Email Address

Best Way to Connect Best Way to ConnectPlease email mePlease call me

Best Time to Call Best Time to CallMorning (8am-12pm)Afternoon (12pm-5pm)Evening ONLYCall me anytime

Are you Buying a Home for the First Time? Are you Buying a Home for the First Time? Yes No

Are you currently working with a Realtor? Are you currently working with a Realtor? Yes No

Would you like to set up a no obligation One-Hour Consultation? Would you like to set up a no obligation One-Hour Consultation? Yes No

How are you purchasing? How are you purchasing?Paying cashFinancing

Are you Pre-Approved for a Loan? Are you Pre-Approved for a Loan? Yes No

Do you need to discuss financing options / lender referrals Do you need to discuss financing options / lender referrals Yes No

What County are you looking in? What County are you looking in? Clackamas County Multnomah County Washington County Marion County Yamhill County

What area are you looking in? What area are you looking in?Downtown PortlandNE PortlandNW PortlandN PortlandSE PortlandSW PortlandBeavertonHillsboroHappy ValleyLake OswegoMilwaukieNewbergOregon CitySherwoodTigardWest LinnWilsonvilleMore than one of the above

What type of home/property are you looking for? What type of home/property are you looking for?Condo/TownhomeAttachedDetachedDuplexOther...Lots/Land

What type of features are you looking for in a home? What type of features are you looking for in a home?1 Bedroom / 1 Bath2 Bedroom / 1 Bath2 Bedroom / 2 Bath3 Bedroom / 1 Bath3 Bedroom / 2 Bath3 Bedroom / 2+ Bath4+ Bedrooms

Other features (be as specific as you'd like). Examples: minimum bedrooms, parking needs, etc.:

I have already identified a property of interest I have already identified a property of interest Yes No

What is your price range? What is your price range? Under $250,000 $250,000-$350,000 $350,000-$500,000 $500,000-$1,000,000 Above $1,000,000

We would like to purchase and move in: We would like to purchase and move in: 0-3 Months 3-6 Months Undecided

We're moving / relocating to the Portland Metro area We're moving / relocating to the Portland Metro area Yes No

Other details you would like to share (Examples: need to be in a specific school district, close proximity to: shopping, work, MAX, etc.)

Would you like an MLS map emailed to you? Would you like an MLS map emailed to you? Yes No

How did you hear about us?