BRENDA FLYNT'S BUYER REGISTRATION FORM
If you would like to be contacted regarding buying a new home,
please fill out the following form completely:
(fields labeled in bold are required)

First Name:
Last Name:
Address 1:
Address 2:
City/State/Zip:	AK AS AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN UM MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PW PA PR RI SC SD TN TX TT UT VT VI VA WA WV WI WY
Phone Number 1:	Home Work Cell
- Best Time to Call:		1:00 AM 1:30 AM 2:00 AM 2:30 AM 3:00 AM 3:30 AM 4:00 AM 4:30 AM 5:00 AM 5:30 AM 6:00 AM 6:30 AM 7:00 AM 7:30 AM 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM 6:00 PM 6:30 PM 7:00 PM 7:30 PM 8:00 PM 8:30 PM 9:00 PM 9:30 PM 10:00 PM 10:30 PM 11:00 PM 11:30 PM 12:00 AM 12:30 AM EST CST MST PST My Time
Phone Number 2:	Home Work Cell
- Best Time to Call:		1:00 AM 1:30 AM 2:00 AM 2:30 AM 3:00 AM 3:30 AM 4:00 AM 4:30 AM 5:00 AM 5:30 AM 6:00 AM 6:30 AM 7:00 AM 7:30 AM 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM 6:00 PM 6:30 PM 7:00 PM 7:30 PM 8:00 PM 8:30 PM 9:00 PM 9:30 PM 10:00 PM 10:30 PM 11:00 PM 11:30 PM 12:00 AM 12:30 AM EST CST MST PST My Time
Fax Number:
eMail:
Best Way to Contact You is:	by Email by Telephone by Fax by Postal Mail
Number of Bedrooms:
Number of Bathrooms:
Approximate Sq. Footage:
How Many Cars Fit in the Garage?
What Other Features Does Your House Have? (check all that apply)
1 Story 2 Story Central Air Wood Floors Tile Floors Fireplace Bedroom on 1st Fl. Formal Dining Rm. Great Room Swimming Pool 1 or More Acres Storage Area
When Was your House Built?