If you would like to be contacted regarding a possible home purchase, please fill out the following form completely:
If you would like to be contacted regarding a possible home purchase, please fill out the following form completely.
First Name:
Last Name:
E-mail Address:
Re-enter E-mail Address:
Home Phone:
Work Phone:
Mailing Address:
City:
State:
Zip/ Postal Code:
Are you relocating to our state?
 Yes No
What town or area are you interested in living?
What is your desired price range?
What style of home do you prefer?
(check all that apply)

1 Story Home

Condominium

2 Story Home

Duplex
Minimum # Bedrooms You Need:
Minimum # Bathrooms You Need:
Minimum # Square Feet You Need:
Do you need a garage?
Have you been preapproved for a mortgage?
 Yes No
Do you have a house to sell before purchasing a new home?
 Yes No
How should I contact you?
 

 
Sam White
sam@SamWhiteRealty.com
mobile - 979.574.0626
fax - 979.985.5278
office - 979.846.0001
www.SamWhiteRealty.com
www.SamWhiteProperties.com
www.BrazosValleyPremierHomes.com


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