Customer Management Form - Houses Unlimited, Inc.

Customer ID Number:      
Address:                            
City:                                   
State:                                 
ZIP:                                    
Phone:                                
E-mail:                               

Price Range Preference:                       Choose Price Range
Type Preference:                                      Choose Type                    

Style Preference:             

Brick   Siding   Wood Garage   Air Conditioning

Frontyard/Backyard Fireplace

Income:                              Choose Income Level

Neighborhood:                      Choose Type Single Level Split Level Apartment Duplex

Comments: