Buying Information Form

Thank you for taking the time to fill out this form so that we may better assist you in receiving all the accurate information you desire about HawaiiForeclosures.com Real Estate.

* Denotes Required Field

* First Name:

* Last Name:

* Email Address:

Company Name:

Address:

City:

State:

Zip Code:

Home Phone Number:

() -

Work Phone Number:

() -

Best Time to Call:

Fax Number:

() -

When are you coming
to Hawaii?:

Do you need rental information?:

Yes No

Would you like us to send
you a Free Buying Kit?:

How would you like to receive
your Free Buying Kit?:

Would you like to attend our
Free Real Estate Seminar?:

Yes No

If "Yes", please select a date:

--5:30 - 7 p.m. Tuesdays Only

What type of real estate
are you interested in buying?:

What type of property
are you interested in?:

What kind of view?:

How many bedrooms?:

What price range do you
want to look at?:

Is this a retirement home, relocation or second home?

Will you rent it out? Yes No

What area(s) are you interested in buying?

Maui	Honolulu	Kauai
Oahu	Hawaii	Waikiki
Hawaii Kai	Kailua	North Shore
Central Oahu	Leeward Coast	Diamon Head
North Hilo	South Hilo	Puna
Kau	Kohala	Molokia
Lanai	Hanalei	Waimea
Lihue	Koloa	Kawaihau
Not Sure

Do you need Real Estate information sent to you? Yes No

Are you interested in Commercial property? Yes No

If buying a lot or remodeling, would you
like a builder to contact you? Yes No

Any Additional Requests
or Comments?:

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