First Name:
Last Name:
Mailing Address:
City:
State:
Zip:
Email Address:
Daytime Phone:
Evening Phone:

Preferred home size.
Under 1,500 s.f.
1,500 s.f. to 2,000 s.f.
2,000 s.f. to 2,500 s.f.
2,500 s.f. to 3,000 s.f.
3,000 s.f. or larger
Lot only

Prefered number of bedrooms:

Preferred number of bathrooms:

What price range are you considering?
Under $500,000
$500,000 to $600,000
$600,000 to $700,000
$700,000 to $800,000
$800,000 or more

Do you own or rent your current residence?
Own
Rent

Do you plan to sell your current home before you buy?
Yes
No

How soon do you plan to move?
Immediately
Within 6 months
Within 1 year
Over 1 year

Where do you currently live?
Central Maui
East Maui
South Maui
Upcountry
West Maui
Neighbor Island
U.S. Mainland
Other:  

What do you plan to do with a new home?
Owner occupant
Second home
Investment

How did you hear about us?
Ad (Newspaper/Magazine)
Direct Mail
Sign
Internet
Friend/Family Member
Realtor
Other:  

Are you working with a Maui real estate agent to find your new home?
Yes
No

Thank your for letting us get to know you better. An agent will contact you via email or telephone to inform you on how to receive your free gift. For any inquiries or assistance please call our sales office at (808) 244-8730, open daily from 9am to 5pm.