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May 22, 2012 6:50PM
Scottsdale, AZ 102°F

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Contact Bloom / Van Omen & Associates Today

480-744-6357 (toll-free 800-736-2974)
or send us your request today!
The Official Real Estate Partner of Scottsdale.com

Buyer Information Request Form

To receive information about properties that interest you, please complete the following Buyer's Request Form. Bloom / Van Omen & Associates, the official real estate partner of Scottsdale,.com, will prepare a report of homes matching your specifications. We will contact you by phone or email, based on the preference you indicate below. Bloom / Van Omen & Associates

Our team of real estate specialists can also set up a customized ongoing search for you. In an ongoing search, you will receive information regarding properties that meet your criteria by email on a regular basis. If you would like to receive an ongoing search, please note this in the comments section. Many of our previous clients have found the ongoing search to be quite valuable while saving them a tremendous amount of time.

Please Note: All information that you provide on the buyer information request form will be kept in strict confidence. This information will ONLY be used by us. We protect and value all of the personal information of our clients

*First Name
*Last Name
*Email Address
*Primary Phone Number   -     -  
Secondary Phone Number   -     -  
What is the best way to contact you? Phone   Email
*Street Address
*City
*State
*Zip Code
*Country
*Cities / Areas of Interest
*Residential Yes   No
*Commercial Yes   No
*Land / Acreage Yes   No
*Investment Property Yes   No
*I'm Interested In Buying Immediately   3-6 Month   6-12 Months   12+ Months
*Bedrooms
*Bathrooms
*Square Footage
*Price Range
*Car Garage
*Single Level Yes   No   No Preference
*Pool Yes   No   No Preference
*Spa Yes   No   No Preference
*Views Golf   Mountain   City   Water   Greenbelt   No Preference
*Gated Community Yes   No   No Preference
Additional Requests / Information
*Create an ongoing search? Yes   No
*Are You Currently Working With Another REALTOR Yes   No
*How Did You Find Us? Website   Search Engine   Blog   Ad   Friend   Other

Because we are heavy into internet marketing, your feedback will assist us in determining which efforts are effective. Please list any information on how your found our website (website name, URL, search term, etc.) Thank you in advance for your help!


If you experience any problems sending this form via our website, email your request directly to us HERE.
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