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Illinois Buyers & Sellers Survey

Please let us know how to contact you

(the red indicators denote information we need to contact you with questions and results)

If you would like to receive listings via the internet, we must get your email address

Your First Name

Your Last Name

Street Address

City

State

ZIP Code

Phone

Fax

E-mail

I am interested in (check all that apply)

BuyingSelling

Contact method

Please have an agent call me

Please have an agent e-mail me

Illinois areas or suburbs you wish to look at

Price range

Type of home (select all that apply)

Single familyCondoTownhome

Number of Bedrooms

Number of baths

Check if required

Family roomDining roomBasementGarage

If garage is checked please indicate # of cars

Additional comments information or requests

Security Code

Enter the code shown above in the box below

EL Wallace Real Estate

Melrose Park, Illinois

708.865.0607
info@elwallace.com

At present, we are licensed to sell Real Estate exclusively in the state of Illinois.

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