Your Name:

Address: 

City:

State:

Zip:

Other Mailing
Information

Phone:

Email Address:

How soon will you be moving? 
1 to 3 months  3 to 6 months
  6 to 12 months 
other (when?) :

Do you have a home you must sell before moving?
Yes  No

Are you currently working with a Realtor in your area?
Yes  No

If not, would you like a referral to a Coldwell Banker Professional in your area?
Yes  No

We'd appreciate your help in determining the effectiveness of our marketing.  Could you please answer these quick questions?
Where did you find out about our website?
Internet Search Engine: 
     what term did you type in?

I saw your ad
      which publication?

Referred to your website by:
      your staff   a friend  
    lender, or other professional

Thank  you!  This is a great help to me!

Your Name:

Address: 

City:

State:

Zip:

Other Mailing
Information

Phone:

Email Address:

How soon will you be moving? 
1 to 3 months  3 to 6 months    6 to 12 months 
other (when?) :

What would you like to know about?

Schools        Colleges       Jobs         Religion

Demographics       Government       Wineries 

Business Environment    Tourist Information 

Parks & Recreation     Golf    Kid's Sports

Other (specify):  

What type of property are you looking for?
 

Will you be visiting the area to house-hunt?
Yes  No

If so, would you like information about  visitor's services?
Yes  No

We'd appreciate your help in determining the effectiveness of our marketing.  Could you please answer these quick questions?
Where did you find out about our website?
internet search engine: 
     what term did you type in?

I saw your ad
     which publication?

Referred to your website by:
      your staff   a friend
      lender, or other professional

Thank  you!  This is a great help to me!
 

When you're ready to look for properties in Napa Valley, let me know and I'll arrange a private tour of homes that meet your criteria.