DICK PIERSON QUESTIONNAIRE

Thinking about selling your home?

When are you planning to move?

General Information:

Approximate Square Footage:	Number of Stories:
Number of Bedrooms:	Number of Baths:

Other Items of Importance:

Price Range:$
to$

Contact Information:

First Name:
Address:
City:
State:
Zip:

Last Name:
E-mail:
Daytime phone:
Evening phone:
Best time to call: