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Bob and Corky's Interest Form
1.
Personal Information
First Name
Last Name
Email Address
Phone Number
2.
Preferred method of contact?
By email
By phone Call
By text
No preference
3.
Preferred day/ time of contact?
4.
If anyone, who do you have in mind to move into our facility?
5.
Are you interested in touring our homes?
Yes
No
6.
How did you hear about us?
Website
Facebook
Family/ friend/ colleague
Other (please specify)
7.
Do you have any questions, concerns, or comments for us before we contact you?