Flagroup.com buyer request form

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This form will help us understand your real estate objective. Please complete the form as much as you can.

Contact Information *Required Fields are marked in the asterisks () symbol**
Your Name *:
Home Phone *:
Office Phone *:
E-Mail Address *:

Please select any of the following types of homes you are interested in purchasing.
Single Family	Apart Complex	Ranch Homes	Hotel
Income Property	Others (specify)

Select the Desired Price Range that applies to your purchase
Desired Price Range

Please Select the areas where you are interested in purchasing the type of home you have selected
The Caribbean
U.S. Virgin Islands		Specify
British Virgin Islands		Specify
Cayman Islands		Specify
British West Indies		Specify
St. Lucia/St. Martin		Specify
Bermuda		Specify
Jamaica/Barbados		Specify
Others		Specify
The Bahamas
Nassau		Other (specify)
New Providence		Other (specify)
Grand Bahamas		Other (specify)
Abaco		Other (specify)
Andros		Other (specify)
Freeport		Other (specify)
Great Cisten Cay		Other (specify)
Other		Other (specify)

Select the Desired area/areas you are interested in purchasing the home you have selected:
Hawaiian Islands
If others specify
Mexico
Other Mexico (specify)
Spain
If Other (specify)
Southern Spain (specify)
France	Monaco Paris
Northern France (specify)
Southern France (specify)
Others (specify)
Florida
Other City (specify)
New York
Other (specify)
California
Other City
Nevada
Other City

Select the Type of Media you would prefer for viewing the information about the home you wish to purchase
CD Rom	DVD	Pictures (hardcopy)
Others	Specify

When would you be ready to inspect the property you have selected?
Day	Month	Year

If the property meets all your needs after inspection, when are you ready to purchase?
Day	Month	Year

Please include below any additional information that will help us in finding the perfect home for you.

Please ensure the information given above is accurate, then use the Submit button to proceed.