Please fill out the form below so that Corey may contact you regarding you request. Corey appreciates your interest in his listings or questions about the area. You will receive a response promptly. All bold fields are required. Information kept confidential. Contact Information: First Name: Last Name: Company Name: Street Address: Street Continued: City: State: Zip Code: Email: Telephone: Fax: Preferred Method Of Contact: Telephone before 5pm ESTTelephone after 5pm ESTEmailFaxOther (Fill in Blank) (other) Property Information: Type of Property: LandSingle Family HomeCondominiumVillaVilla (Attached Garage)Other (Fill in Blank) (other) Property Location: NaplesMarco IslandOther (Fill in Blank) (other) Property View / Access: BeachfrontBeach/Ocean ViewBeach AccessGulf / Boating AccessLake ViewPreserve ViewUndeveloped LandOther (Fill in Blank) (other) Community Type: Golf Course (Private)Golf Course (Public)Golf Course (Exclusive)Yacht Club / BoatingTennis / RaquetNot ApplicableOther (Fill in Blank) (other) Bedrooms: N/A0123456 Bathrooms: N/A0123456 Half-Bathrooms: N/A0123 Buying In: 1-3 Months 3-6 Months 6-12 Months Undecided Furnished: All Furnished Unfurnished Turnkey Community Amenities: Fitness Center Clubhouse / Pool Restaurant / Private Club Private Beach Club Marina Other Comments:

Corey Geddis - REALTOR ® Downing-Frye Realty II LLC 3411 Tamiami Trail North Naples, FL 34103 Telephone: Fax: Email Us: (239) 784-1991 (239) 430-2075 sales@buymarconaples.com Copyright © 2009 Corey Geddis - REALTOR ®