20 Broadway
P.O. Box 1325
Saranac Lake, NY 12983
518-891-2020
518-891-2990 FAX
E-Mail: S. Curtis Hayes, Inc.

Your full service Real Estate Agency servicing the
Saranac Lake - Lake Placid section of the Adirondack Mountains.

Waterfront Vacation Rentals, Adirondack Waterfront Homes, Adirondack Vacation Rentals

INFORMATION REQUEST FORM

Please fill in the blanks below so that we
may better handle your requests. Thank you!

Your Name:
E-Mail:
Website URL:
Address:
City:
State:
Zip:
Country:
Home Phone:
Office Phone:
Are You interested in renting?

Yes
No		 If Yes:
Summer Vacation
Winter Vacation
Year-Round

I would like to buy?
Immediately
Within 6 months
6 months - 1 Year
1 Year or More
Are you interested in purchasing real estate?
Yes
No

Vacant Land:
Waterfront
Mountain Views
Large Acreage
Small Building Lot

Improved Properties:
Year-Round Residence
Seasonal Waterfront
Year-Round Waterfront
Commercial/Investment

 $25,000 to $50,000
$50,000 to $75,000
$75,000 to $100,000
$100,000 to $150,000
$150,000 to $250,000
$250,000 to $500,000
$500,000 to $1,000,000
Over 1,000,000

Not interested in purchasing at this time but keep me on the mailing list.
How would you like
us to contact you?:

Call
E-Mail
Snail Mail

Comments/Instructions:

 Contact Specific Agent:

Wayne
Phil
Bonnie
Elaine
Alice
Russ
Joanna
Phyllis

 
Comments/Instructions:

*

Thank you for taking the time to complete this form

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Waterfront Vacation Rentals, Adirondack Waterfront Homes, Adirondack Vacation Rentals

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Waterfront Vacation Rentals, Adirondack Waterfront Homes, Adirondack Vacation Rentals

S. Curtis Hayes, Inc. Insurance and Real Estate
20 Broadway, P.O. Box 1325, Saranac Lake, NY 12983
518-891-2020 · 518-891-2990 FAX
E-Mail: S. Curtis Hayes, Inc.

© S. Curtis Hayes, Inc. Insurance and Real Estate - All rights reserved

An Equal Housing Opportunity




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