YOUR INFORMATION

Name:

Address:

Email:

Phone:

I intend to purchase a home within the next:

Bedrooms:

Min. # 1 2 3 4 5 6 7 8 9 10 to Max # 1 2 3 4 5 6 7 8 9 10

Bathrooms:

Min. # 1 2 3 4 5 6 7 8 9 10 to Max # 1 2 3 4 5 6 7 8 9 10

List Price:

Min. $ 60,000 80,000 100,000 120,000 140,000 160,000 180,000 200,000 250,000 300,000+ to Max $ 60,000 80,000 100,000 120,000 140,000 160,000 180,000 200,000 250,000 300,000+

Location:

Choose Area Altoona Eau Claire-North Eau Claire-South Eau Claire-East Eau Claire-West Eau Claire-Out of Town Chippewa Falls-In Town Chippewa Falls-Out of Town Other (list in box below)

Please list any addition features you would like to use to narrow your search (i.e. square footage, acres, garage size):

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