Southwest Florida Properties - Vacant Land Buyer Information Form

Betty Prokos
Century 21 Sunbelt, Inc.
101 Taylor Rd.
Punta Gorda, Fl. 33950
Toll-Free Line: 800- 749-7591
Local: 941-255-9144 / Fax: (509) 752-0810
Email: betty@swfloridaproperties.net

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Your Contact Information:

*required information

*Name:

*Address:

Address Line 2:

*City:

*State/Province:

*Country:

*Zip/Postal Code:

(no dashes or spaces)

*Day Telephone:

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Evening Telephone:

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*Email Address:

*How do you prefer to be contacted?

Day telephone
Evening telephone
Email

What Type of Land Are You Looking For?

*Lot Size/Acreage:

*Property Use/Zoning:

*Property Type:

*Maximum Purchase Amount:

*Purchase Method :

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Comments or Questions:

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