CLIENT REGISTRATION FORM

To qualify for a new home purchase rebate at closing, this form must be
completed and submitted to the Indy Home Marketing Group at least
72 hours prior to your FIRST visit to a builder's sales office. You must also
provide the Builder, or Builder's representative, with our notification form
HERE stating you are being represented exclusively by us as your Realtor
and Buyer-agent, should you decide to purchase a new home. Completing
this form is risk-free and does NOT obligate you to a new home purchase.

Full Name: Required
Spouse's First Name:
Address:
City:
State:
Zip Code:
Day Phone:
Evening Phone:
E-mail Address: Required


Best method to contact you:
E-mail Telephone
Have you been pre-qualified for
a mortgage loan? Yes No
Are you a first-time home
buyer? Yes No

Do you currently: Own?  Rent?

Total in household?

How soon do you want to move-in?

What style of home do you want?

What's your price range including lot?

How many bedrooms do you want?

Tell us what Builder homes you plan to visit:

Beazer Homes 
Davis Homes
Portrait Homes
Dura Builders
Arbor Homes
Centex Homes
C.P. Morgan
Estridge Homes
Hansen & Horn
M/I Homes
Drees Homes
Gunstra Builders
Ryland Homes
Pulte Homes

Tell us the location of the homes for each selected builder: Required
 


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