Home Preference Response Form

Let us know what you're looking for by providing the following information. We will be happy to contact you as soon as a house meeting your needs comes on the market. Thank you!
(Fields with asterisk (*) are required.)

Your Name:*
Mailing Address:*
City:*		State: Zip:
Home Phone:
Work Phone:
E-Mail Address:* (If you do not have e-mail, type in 'none')
What areas are you interested in?	Lewistown Reedsville Belleville Other:
Type of Home Preferred:
Price Range:
Time Frame for Purchase:
Minimum Number of Bedrooms:
Minimum Number of Bathrooms:
Questions or Comments:

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Stone Arch Real Estate
100 Stine Drive, Lewistown, PA 17044
717-248-6400 Toll Free 877-248-6405
License RB065456

Claire Shockey, ABR, CRS, GRI, SRES
Broker/Owner
Real Estate Lic. # RM419427
info@stonearchrealestate.com
Licensed in Pennsylvania, USA