Please provide the following information (The more detail you provide, the more we can help you): '*' - required fields

All details you supply are strictly confidential and not disclosed to any other party

Name	*
Title
Organization
Street Address	*
Address (cont.)
City	*
State/Province	*
Zip/Postal Code	*
Country	*
Work Phone	*
Home Phone	*
Cell Phone
FAX
E-mail

• When do you see yourself purchasing a home? Choose one of the following options:

1 to 4 Months 5 to 8 months 9 to 12 months 13 to 18 months 19 to 24 months Other

• What is your approximate budget in US$? (Total cost of home/property) Choose one of the following options ('K' is for US$ in thousands):

171 to 190K 191 to 220K 221 to 250K 251K to 300K More than 301K

• What is your estimated TOTAL CASH OUTLAY or total deposits INCLUDING FEES in buying a home/property? US$ based from a minimum of 20% deposit. Choose one of the following options:

41 to 50K 51 to 60K 61 to 70K 71K or more All Cash

• What type/size of property are you looking for? Select all of the following options that apply:

Flat/Apartment/Condo/Town House  

3 Bed with Pool 

4 Bed with Pool 

5 Bed with Pool                
6 Bed with Pool 

7 Bed with Pool    

Commercial                       

• Which of the following would you prefer? Select all of the following options that apply:

Investment Home Residential Home  Commercial Property             

• When are you expecting to visit Florida?

 * -- dd/mm/yy

• Do you know that if you stay in one of our villas and decide to buy your own home through us, at any time, we will refund you a proportion of your accommodation cost? Would you be interested in our 'try before you buy' scheme?:

Yes, please supply me with details of an inspection visit home.

• Please use the box below to provide us with any further information that you feel is important:

PLEASE CLICK ON THE SUBMIT BUTTON AND WAIT FOR CONFIRMATION THAT WE HAVE RECEIVED YOUR DETAILS (THIS CAN TAKE UP TO A MINUTE AT BUSY TIMES)