Information Request Form Please fill out the form below to receive additional personalized information. Be assured, keeping your personal information private is vitally important to us. Eli Property Company will never sell or give your submitted information to anyone.
Name:* Address:* City:* State:* Zip: E-Mail:* Home Telephone:* (Please include area code) Business Telephone: (Please include area code)
Please answer the 12 questions below. Be sure to include any comments or questions you may have in the comments section of this form. Your name, e-mail address and phone number are necessary for us to process your request.
1.)	I am interested in property for the following reasons:
	Retirement in years second home future appreciation vacation property Other Purpose:
2.)	My current age group is:
	20-29 30-39 40-49 50-59 60-69
3.)	I am interested in the following size property:
	1/4 to 1/2 acre 1 acre (size of a football field) 5 acres
4.)	I am interested in property for the following size home:
	1200-1400 Sq. Ft 1500-1900 Sq. Ft 2000-2400 Sq. Ft 2500+ Sq. Ft
5.)	I would like property within the following driving distance from a major town: (major shopping, hospital, airport, theaters)
	20 min 30 min 45 min 1 hour
6.)	I would like property within the following driving distance from a small town: (market, hardware store, medical clinic, post office)
	10 min 15 min 20 min 30 min
7.)	I enjoy the following activities:
	fishing boating golf swimming hunting gardening rafting viewing wildlife camping hiking sailing horseback riding Other activity:
8.)	I am interested in property in the following price ranges:
	$29,000-$55,000-1/4 to 1/2 acre lake lots $45,000-$58,000-1 acre river lots $72,000-$120,000-1 acre lake lots $150,000-$190,000-5 acre lake lots
9.)	Would you like to purchase property by cash or finance?
	Cash Finance *Click here to see our financing terms. Please check if you have reviewed our financing details.
10.)	I would like to purchase property within:
	within six months within 1 year within 2 years Not Sure. Just looking at different areas. other:
11.)	How do you connect to the internet? Dial-up DSL Cable ISDN or higher Were you able to view our online video presentation? Yes No   *Click here to view our Online Video Presentation. (High Speed DSL or Cable Connection Recommended)
12.)	How did you hear about Eli Property Company? Eli Property Company customer Name of referring customer: Internet search:   Please let us know what search engine you used to find our link. Thank you.   google.com lycos.com yahoo.com aol.com msn.com eBay.com
	Please use this space to send any additional comments or questions.
Thank you for taking the time to fill out the Information Request Form! Copyright © 2000, Eli Property Company. All Rights Reserved.