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Address
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	Interested in only new homes
	Interested in only pre-owned homes
	Interested in either new or pre-owned homes
	Expected purchase date Within 1 - 2 months Within 3 - 6 months Within 6 months - 1 year Within 1 - 2 years More than 2 years
	When will you be visiting Florida? Within 1 - 2 months Within 3 - 6 months Within 6 months - 1 year Within 1 -2 years
	How did you hear about us? Search Engine Referral Mailer Newspaper elitemhs.com MHVillage.com Retirenet.com
My interest is:	Primary Residence    Secondary Residence
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