New Buyer Form
Please provide the following information so that we may better serve you.
* Fields are required


First Name:
*

Last Name:
*

Address:


City:


State:


Zip:


Home Phone:


Cell Phone:


Work Phone:


Fax:


E-mail: *required field
*

Children:
Yes No
Ages:


Names:



Pets:
Yes No
Names:


Type:



Buyer Source: How did you hear about the Porritt Group?
Open House Internet Sign Phone Book Referral Advertisement Previous Customer Lender Other

Areas of Consideration:
Lake Orion Oxford Clarkston Rochester/Rochester Hills Auburn Hills Troy Shelby Birmingham Bloomfield Metamora Lapeer Other


New Home Preferences
Tell us a little about what you are looking for in your new property.

Style:


Bedrooms:


Baths:


Basement:


Garage:


Price Range:


Other Specifications:


New Construction    Existing Home

Target move date:


Sign up for Fusion:


Buyer Specialist Assigned:


Have you been pre-qualified with a lender:
Yes No

Pre-Qualified Amout:


If Yes:


Follow Up Notes: