Use the mouse or tab button to move from field to field
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Name:
Date of Birth:
Spouses Name:
Date of Birth:
Address:
City:
State:
ZipCode:
Marital Status:
Single
Married
Separated
Divorced
Number of persons living in the
home under the age of 18:
Home Phone:
Work Phone:
Email:
Best Time to be Contacted:
Morning
Afternoon
Evening
When will you be purchasing a new home?:
Just Thinking About It
In 4 to 5 Years
In 2 to 3 Years
In About 1 Year
In 6 Months to a Year
In 6 Months
In 3 Months
Ready Now
Desired Monthly Payment:
Please fill out the form below, to better meet your needs of your home.
Type of Home you are looking for?:
Primary Residence
Vacation Home
Retirement Home
Where would you like to live?:
My Own Land
Leased Land Community
Do you own your own land?:
Yes
No
If yes, where is your land?:
If no, where would you like to live?:
Delaware
Delaware Shore
Maryland
Maryland Shore
Virginia
Virginia Shore
What improvements do you need?:
Well
Septic
Electric
All of the above
Do not need
How many bedrooms do you need?:
2
3
4
Please select what are important to you:
Living Room
Family Room
Den
Kitchen with Morning Room
Dinning Room
Eat-In Kitchen
Breakfast Area
Please select the homes that you would like to recieve additional Information on:
The Courtney
The Lady Kathleen
The Prince William
The Saint Patrick
The Sir Terance
The Mary Frances
The Michael
The Sherry Lynn
BAYLAND HOMES
30339 Foskey Lane ~ Delmar, Maryland 21875
Phone (410) 896-3828 ~ (800) 528-8103 ~ Fax (410) 896-4034
info@baylandhomes.com
