Mortgage Promotion Question Title * 1. Name Question Title * 2. Address Question Title * 3. Email address Question Title * 4. Phone Number Question Title * 5. When did you purchase your home? Date Date Question Title * 6. Who is your Home Loan currently with? Question Title * 7. Who do you use for your primary banking relationship? Checking, Savings, etc. Exchange Bank Other (please specify) Question Title * 8. Are you happy with your current bank? Yes No Done