*required information	First Name*:
Last Name*:
Title/Salutation*:		Select Title Mr. Mrs. Ms. Dr.
Address:
City*:
State*:		Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code*:
Preferred Phone*		Select Phone Type cell work home
Phone Number*:
Email*:
Contact Preference*:		phone email
How did you learn about CamWest?*		Select One Internet Research Agent Referral camwest.com Direct Mail Signs Seattle Times Ad Seattle Times Article Magazine Ad Local City Newspaper Ad Other
Do you presently own or rent?*		Own Rent
How long have you been looking for a new home?*		Select Time Less than 1 Month 2-3 Months Longer than 3 Months
Please rank the TOP 3 reasons why you are considering a move.		Select Reason #1 Job relocation Closer to Work Schools Need Larger Home Want Smaller Home Want a New Home Closer to Family Amenities Nearby Other Select Reason #2 Job Relocation Closer to Work Schools Need Larger Home Want Smaller Home Want New Home Closer to Family Amenities Nearby Other Select Reason #3 Job Relocation Closer to Work Schools Need Larger Home Want Smaller Home Want New Home Closer to Family Amenities Nearby Other
Other (please describe):
What type of home are you interested in buying?*		Select Home Type Townhome / income qualified Townhome / market rate Single Family
What price range are you considering?*		Select Price Range under $500,000 $500,000 - $600,000 $600,000 - $700,000 $700,000 - $800,000 $800,000 - $900,000 $900,000 - $1,000,000 over $1,000,000
Please rank the TOP 3 aspects for choosing a new homebuilder.		Select Aspect #1 Architecture Neighborhood Features Street Appeal location Builder Reputation Other Select Aspect #2 Architecture Neighborhood Features Street Appeal location Builder Reputation Other Select Aspect #3 Architecture Neighborhood Features Street Appeal location Builder Reputation Other
Are you working with a buyer's agent?		Yes No
If yes, please enter the Agent's name, office and phone number.		Name:  Office:  Phone:
Please rank the TOP 3 features which are most important in your new home?		Select Feature #1 Entry Kitchen Kitchen Appliances Living Room Dining Room Great Room Master Bathroom Master Bedroom Master on the Main Floor Garage Workshop Guest Suite Fireplaces Media Room Office Laundry Room Mud Room Front Yard Rear Yard Other Select Feature #2 Entry Kitchen Kitchen Appliances Living Room Dining Room Great Room Master Bathroom Master Bedroom Master on the Main Floor Garage Workshop Guest Suite Fireplaces Media Room Office Laundry Room Mud Room Front Yard Rear Yard Other Select Feature #3 Entry Kitchen Kitchen Appliances Living Room Dining Room Great Room Master Bathroom Master Bedroom Master on the Main Floor Garage Workshop Guest Suite Fireplaces Media Room Office Laundry Room Mud Room Front Yard Rear Yard Other
What features would you like to improve in your current home?
Entry Kitchen Kitchen Appliances Living Room Dining Room Great Room Master Bathroom Master Bedroom Master on the Main Floor Garage Workshop Guest Suite Fireplaces Media Room Office Room Mud Room Front Yard Rear Yard Nothing
To ensure your privacy, please enter the four-letter security code (no spaces) as shown in the blank box provided
*required information
Register Now