The PRC Group
40 Monmouth Park Highway
P.O. Box 70
West Long Branch, New Jersey 07764
For Information Call: (732) 222-5062
Personal Information:
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Email Address
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First Name
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Last Name
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Address
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City
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State
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Zip Code
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Phone Number:
Fax Number:
Demographic Informatio
n:
(This information is optional but will help us better ascertain your needs)
We currently
Own
our home:
We currently
Rent
:
Other:
Age:
18-24:
25-34:
35-44:
45-54:
55-64:
64(+):
Annual Household Income
(K=$1,000):
20K-30K:
31K-40K:
41K-50K:
51K-60K:
61K-75K:
75K(+):
Relocation Information:
We currently live in this market and are considering purchasing in this market:
We are relocating to this market:
We plan on moving within
30 DAYS
60
90
120
150
6 Mos. to 9 mos.
9 Mos. to 1 year
If you are relocating, please answer. If not, leave blank:
I am being relocated by my employer:
Yes
No
Employer is:
Located in:
Type of Housing we are interested in
(you may check both):
Single-Family
Townhome/Condominium
Both
Community of Interest:
Brighton Arms
Clifton Arms
Edgewater
Farmingdale Gardens
Grandville Towers
Sunset Heights
Willow Pointe
Tree Haven I and II
Tree Haven III
Valley Run
North Brunswick
Other:
Comments:
DISCLAIMER
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EHO
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PRIVACY POLICY
| Copyright © 2009
The PRC Group
| 40 Monmouth Park Highway P.O. Box 70 West Long Branch NJ 07764 | 732.222.2000
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