ALTA

Begin a dialogue with an Online Sales Consultant. Please fill out the following form. All items in bold must be completed. Thank you for your interest.
	First Name:
	Last Name:
	CONTACT INFORMATION:

	How would you prefer to be contacted?	Email Home Phone Cell Phone	Work Phone Fax

	Street Address:
	City:
	State:
	Zip/Postal Code:
	Home Phone:
	Cell Phone:
	Fax:
	Email Address:
	ADDITIONAL INFORMATION:
	What is your price range?	Under $1M $1M – $1.25M $1.25M – 1.5M $1.5M – 1.75M	$1.75M – $2M $2M – $2.25M $2.25M +
	Do you currently own property within the desert?	Yes No
	In what city?	Cathedral City Indian Wells La Quinta Palm Springs Rancho Mirage Palm Desert Other (Please specify)
	What is your preferred view?	North South East West	NorthEast SouthWest SouthEast NorthWest
	Is this a primary or secondary residence?	Primary Secondary

	Do you want a casita/guest house?	Yes No
	What size home are you interested in?	2,700 - 3,000 sq. ft. 3,000 - 3,300 sq. ft. 3.300 - 3,800 sq. ft. 3,800 - 4,200 sq. ft. 4,200 - 4,700 sq. ft.
	Number of bedrooms?	3 bedrooms 4 bedrooms 5 bedrooms
	What is your timeline for purchase?	0-3 months 3-6 months 6-12 months 12+ months

	How did you hear about us?
	Do you have to sell your home in order to purchase at ALTA?	Yes No
	Please give us your comments or feedback.