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Request for Information - Concordia Communities in Nevada

Your feedback is important to us. Please enter any questions or comments you may have so we are able to serve you better. To receive additional information about Concordia Homes®, please complete the following form. We will promptly send you the information you have requested.

First Name:

Last Name:

Address:

City:

State:

Postal Code:

Phone:

E-Mail:

How would you like to be contacted:

Email
Phone - Best time to contact you:

Select Communities You Are Interested In:
(You may select more than one)

	Aviano		Sommerset
	Glenbrook Estates		South Glen
	Sage Creek		Pleasant Valley in Pahrump
			The Canyons at Laughlin Ranch

OPTIONAL FIELDS:
These are optional fields we use to help you find the perfect home.
(You may select more than one)

Reason for Move:

	Relocation
	Home Ownership
	Retirement
	Larger Home
	Smaller Home
	Location

Price Range:

	$200,000 - $299,999
	$300,000 - $399,999
	$400,000 - $499,000
	Over $500,000

Square Ft. Desired:

	1000 - 1499
	1500 - 1999
	2000 - 2499
	2500 - 2999
	3000 - 3499
	3500 - 3999
	Above 4000

Floor Plan Style:

	1 story
	2 story
	Either

Current Housing Status:

	Renting
	Listing
	Own
	Sold
	Other

When would you like to move into a new home:

	Immediate
	3 - 6 months
	6 - 12 months
	Over 12 months

How did you hear about us?

	TV		Homes & Living
	Radio		Direct Mail
	Search Engine/Banner Ad		Friend/Relative
	Newspaper		Other
	Signage

Other comments or questions? Please specify:

Concordia Homes of Nevada, Inc.® 980 American Pacific Drive, Suite 100 Henderson, NV 89014 702-434-5200	Concordia Homes Aviano 216 Caraway Bluffs Place Henderson, NV 89015	Concordia Homes Glenbrook Estates 111 Birch Ridge Ave Las Vegas, NV 89183
Concordia Homes Sage Creek 4472 Shallow Brush Ave Las Vegas, NV 89141	Concordia Homes South Glen 10686 S. Bronco St. Las Vegas, NV 89141	Concordia Homes The Canyons at Laughlin Ranch 3108 Secret Pass Canyon Drive Bullhead City, AZ 86429
Concordia Homes Pleasant Valley 2869 S. Avalon Ave Pahrump, NV 89048	Concordia Homes Ladera at Del Rio Ranch 2201 South 121st Drive Avondale, AZ 85392

In the interest of continuous product improvement and to meet the changing market conditions, the builder reserves the right to modify maps, floor plans, exteriors, specifications, features, product type and price without prior notice or obligation. Attic access locations may vary from model home to production. All square footage is approximate. Please verify features in your favorite model with our sales representatives.