CITY (or cities) you're interested in (check all that apply)
 Bend
 Redmond
 Sisters
 LaPine
 Prineville
 Madras

PRICE RANGE
 < $150,000
 $150,000-$300,000
 $300,000-$500,000
 $500,000+

SIZE OF HOME
 0-1,500 sq.ft.
 1,500 sq.ft.-2,500 sq.ft.
 2,500+sq.ft

NUMBER OF BEDROOMS
 2 or less bedrooms
 3 bedrooms
 4 bedrooms
 5 or more bedrooms

AGE OF HOME?
 New Construction
 less than 5 years
 5 to 10 years
 over 10 years

WHEN ARE YOU LOOKING TO PURCHASE?
 less than 2 months
 6 months to 1 year
 Over 1 year

DO YOU NEED TO SELL YOUR PRESENT HOME?
 Yes
 No

HAVE YOU BEEN PRE-QUALIFIED BY A LENDER?

 Yes
 No

*Name

*Email

*Phone

Comments or Special Requirements