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Broker Appointment -Form Fill
Section One
Q1
Name
First Name
Q2
Name
Last Name
Q3
E-mail
Q4
Phone number
Q5
Select all that apply to you:
Q6
Desired move-in date
Month
Q7
Desired move-in date
Day
Q8
Desired move-in date
Year
Q9
Minimum Number of bedrooms desired
Q10
Minimum number of bathrooms desired
Q11
Do you need assigned parking?
Q12
What is the price range you are looking at?
Q13
Do you have pets?
Q14
What is the combined income of all residents?
Q15
Approximate credit score?
Q16
List your preferred neighborhoods
Q17
Any "must haves"?
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