Neighborhood Referral Dealer Information Request

Personal Data
(* indicates required fields)

Name *:
Address *:
City *:
State *:
Zip *:
Phone # *:
Fax #:
Cellphone #:
Email Address:
Are you an actively licensed realtor?

Your Community/Development Data

Do you live in an active over 55 community?
If yes, please complete the following questions:
What is the name of your community?
Who is the builder/developer of the community?
What is the approximate number of homesites in the community?
Is there a community clubhouse in the community?
How many golf courses are in the community?
Are golf carts currently allowed to be used as alternate
transportation in your development/community?
Is there a marina in the community?
What is the highest posted speed limit in the community?

What community organizations, groups, etc. are you involved in?