*FIRST NAME	*LAST NAME
			ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING
	*ADDRESS	*CITY	*STATE	*ZIP
	*PHONE	*E-MAIL
What type of The Fitz at Rockville home most interests you?
	One bedroom One bedroom with loft Two bedroom Two bedroom with loft
Your age –
	Under 30 30-39 40-49 50-59 60+
Would you be purchasing as –
	Owner Investor
Do you currently –
	Rent Own
How did you learn about The Fitz at Rockville?
	Newspaper Ad Magazine Ad Direct Mail Internet Search On-site Signage Realtor Relative or Friend Event
How would you like us to contact you? Please check all that apply.
	E-mail Regular Mail Telephone