Contact Information :
First Name: * Last Name: * Occupation: Company: E-mail: *  Verify E-mail: * Country:   Street Address: City/Town: Province (Other Country):   State/Province (USA):   Select One AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI Zip/Postal Code: Phone Number: Cellular: Fax:
Property Specifications:
Have you been to CR before? yes    no Select your preferred geographic location: Coastal Interior No Preference Are you looking to: Buy or Rent ?
What type of property are you looking for?
Residential Beach Commerical Ocean View Farms Luxury Businesses Vacation Rental Eco-Properties   Other. Please specify
Construction preferences:
Buy already built: Buy Pre-Construction:
If pre-construction, how long are you willing to wait for delivery?	Select 0-6 months 6-12 months 12-18 months 18-24 months 24+ months
Purpose of Acquisition (Please mark as many options as you think appropriate):
Primary Residence Second Residence / Vacation Generate Rental Income Re-sale Increase Investment Portfolio How many properties do you currently own? Select 1 2 3 4 5 6 7 8 9 10 10+ Where:
Interested in a specific listing?
Name or Code of Specific Property:
When will you need the property you are looking for?
Dates to Travel to Costa Rica:
Arrival:
Departure:
Pricing and Financing:
If buying, what is your price range?	Select Price Range Less than $100,000 $100,000 - $200,000 $200,000 - $300,000 $300,000 - $400,000 $400,000 - $500,000 $500,000 - $600,000 More than $600,000 View All
If renting or leasing what is your monthly price range?	Select Rental Range $0 - $500 $501 - $750 $751 - $1,000 $1,001 - $2,000 above $2,000 View All
Do you need financing in Costa Rica? yes no
Comments / Questions:

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Contact Information
Cesar Salazar, Marketing Director
Costa Rica CR Lands

cesar@costaricacrproperties.com
Phone: 506-8-885-4748