Request For Information

We're pleased that you're interested in speaking with us. In order for us to contact you, please fill out the information below. We respect your privacy and will not release your information to anyone outside of the Alpha Omega family.

	required fields are designated with an * Dr. Ms. Mrs. Mr.
First Name*:
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Street Address*:
City*:
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FAX:	- -

Please send information via: (Select One) Postal Service Fax

Are you interested in:
buying
selling
leasing
property management
consulting

Where are you interested in doing business?
City:State:
 

Property Information:
Property Location:
Street Address:
Box or Apartment#:
City:
State:
Zip or Postal Code:
Price Range:	to
How are you planning to use the property?	Select property usage...RetailOffice SpaceRestaurantShopping Center/MallWarehouseIndustrialDevelopment
Other Use:
Is property currently occupied?	yesno
Current use of property:	Select property usage...RetailOffice SpaceRestaurantShopping Center/MallWarehouseIndustrialDevelopment
Other use:
Other Specifications Needed (please describe):
Time frame in which you wish to be contacted:

Optional Questionnaire We want to make this site a valuable resource to you, so it will be helpful to us to know more about you. This section is completely optional and under no circumstances will we release your responses to anyone. Thanks for your help. 1. How would you rate the overall site? Excellent Good Average Fair Poor 2. How did you learn about our web site? Search Directory (i.e.Yahoo!/Lycos/Alta Vista /etc.) On-line Advertisement Link from Another Home Page Newspaper/Magazine/TV Ad News Story Friend or Peer Surfing Other 3. What service did you use to access our site? America Online Prodigy Compuserve Microsoft Network AT&T WorldNet Netcom Other 4. At what speed do you access the web? 9600 bps 14400 bps 28800 bps 56k bps Cable modem ISDN T-1 or higher 5. From where do you connect? School Home Office

Please tell us about yourself! Your age: Marital status: Select marital status...MarriedSingleDivorcedWidowed Highest level of education attained: Select level of education...High SchoolSome CollegeBachelorsMastersDoctorate Annual household income: Select income level...$25000 to $34999$35000 to $49999$50000 to $59999$60000 to $74999$75000 to $99999$100000 to $149999$150000 to $199999$200000 to $299999$300000 or more

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