Name *

First Name

Last Name

Phone

(###)

###

####

What topics are you interested in? *

Downsizing

Move up

Investment Property

New construction

First-time home buyer

Are you interested in Buying or Selling with Susan? *

Yes

No

Maybe

If Yes, how soon are you looking to Buy or Sell? *

0-3 Months

4-6 Months

7-12 Months

Not Sure

Would you like a free home evaluation? *

Yes

No