<TABLE width="97%" border="0" cellspacing="2" cellpadding="5" align="center"> <TR> <td><p class="pageheading">CONTACT A REPRESENTATIVE</p></td> </TR> <TR> <TD valign="TOP"><font size="2">To contact one of our representatives, please fill in this form as completely as possible. </font> </TD> </TR> <TR> <TD valign="TOP"><FONT size="2" color="#CC0000">*Required fields</FONT> <FORM action="http://www.shopperguide.net/forms/plum_em_form_golfclubrealty.asp" method="post" name="plumfrm" id="plumfrm"> <INPUT type="hidden" name="next_url" value="http://www.golfclubrealty.com/thankyou.html"> <INPUT name="email_to" type="hidden" value="chris@golfclubrealty.com"><!-- email goes to address --> <INPUT type="hidden" name="subject" value="Contact a Representative."> <TABLE width="415" cellspacing="4" cellpadding="4"> <TR> <TD align="RIGHT" width="150"><B><font size="2">*Your Full Name:</font></B><font size="2"> </font> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="Name_from" VALUE="" SIZE=25 MAXLENGTH=100> </TD> </TR> <TR> <TD align="RIGHT" width="150"><B><font size="2">*E-mail address:</font></B><font size="2"> </font> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="Email_from" VALUE="" SIZE=25 MAXLENGTH=100> </TD> </TR> <TR> <TD align="RIGHT" width="150"><B><font size="2">*Home Phone:</font></B><font size="2"> </font> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="*Home_Phone" VALUE="" SIZE=8 MAXLENGTH=25> </TD> </TR> <TR> <TD align="RIGHT" width="150"><B><font size="2">Work Phone:</font></B><font size="2"> </font> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="Work_Phone" VALUE="" SIZE=8 MAXLENGTH=25> </TD> </TR> <TR> <TD align="RIGHT" width="150"><B><font size="2">Fax:</font></B><font size="2"> </font> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="Fax" VALUE="" SIZE=8 MAXLENGTH=25> </TD> </TR> <TR> <TD align="RIGHT" width="150"><B><font size="2">Street Address:</font></B><font size="2"> </font> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="Address" VALUE="" SIZE=25 MAXLENGTH=100> </TD> </TR> <TR> <TD align="RIGHT" width="150"><B><font size="2">City:</font></B><font size="2"> </font> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="City" VALUE="" SIZE=25 MAXLENGTH=100> </TD> </TR> <TR> <TD align="RIGHT" width="150"><B><font size="2">State:</font></B> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="State" VALUE="" SIZE=8 MAXLENGTH=25> </TD> </TR> <TR> <TD align="RIGHT" width="150"><B><font size="2">Zip/Postal code:</font></B><font size="2"> </font> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="Zipcode" VALUE="" SIZE=12 MAXLENGTH=20> </TD> </TR> <TR> <TD align="RIGHT" width="150"><B><font size="2">Country:</font></B><font size="2"> </font> </TD> <TD width="237"> <INPUT TYPE="TEXT" NAME="Country" VALUE="" SIZE=8 MAXLENGTH=25> </TD> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">What type of home do you prefer?</font></B><BR> <input type="radio" name="Preferred_Home" value="Single_Family"><font size="2">Single Family</font><br> <input type="radio" name="Preferred_Home" value="Condo"><font size="2">Condo</font><br> <input type="radio" name="Preferred_Home" value="Townhome"><font size="2">Townhome</font><br> <input type="radio" name="Preferred_Home" value="Villa"><font size="2">Villa</font><br> <input type="radio" name="Preferred_Home" value="Homesite_Lot"><font size="2">Homesite Lot </font> </TD> </TR> <TR> <TD colspan="2" width="384"><font size="2">Will this be a primary residence?</font><BR> <input type="radio" name="Primary_Residence" value="Yes"><font size="2">Yes&nbsp;</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="radio" name="Primary_Residence" value="No"><font size="2">No </font> </TD> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">Desired Price Range?</font></B><BR> <font size="2">From $</font><input type="text" name="Price_Range_Low" size="10" maxlength="20"> <font size="2">up to $</font><input type="text" name="Price_Range_High" size="10" maxlength="20"> </TD> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">Do you prefer to...?</font></B><BR> <input type="radio" name="Preference" value="Purchase"><font size="2">Purchase</font><br> <input type="radio" name="Preference" value="Rent_Annual_Unfurnished"><font size="2">Rent Annual Unfurnished</font><br> <input type="radio" name="Preference" value="Rent_Season_Furnished"><font size="2">Rent Season Furnished </font> </TD> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">What is your time frame?</font></B><BR> <input type="text" name="Time_Frame" size="20" maxlength="60"> </TD> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">Golf Membership Preference:</font></B><BR> <input type="radio" name="Membership_Preference" value="Private"><font size="2">Private</font><br> <input type="radio" name="Membership_Preference" value="Semi_Private"><font size="2">Semi-Private</font><br> <input type="radio" name="Membership_Preference" value="Public"><font size="2">Public</font><br> <input type="radio" name="Membership_Preference" value="Any"><font size="2">Any </font> </TD> </TR> <TR> <td colspan="2" align="center" width="384"><B> <font color="#008000" size="2">INDICATE BELOW YOUR DESIRED FEATURES</font><font color="#008000" size="1"><br> </font>&nbsp;<font size="2">(optional):</font></B><font size="2"> </font> </td> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">Golf Home/Lot Features:</font></B><BR> <input type="checkbox" name="Golf_Home_Lot_Features1" value="Custom_Built_Home"><font size="2">Custom Built Home</font><br> <input type="checkbox" name="Golf_Home_Lot_Features2" value="Fireplace"><font size="2">Fireplace(s)</font><br> <input type="checkbox" name="Golf_Home_Lot_Features3" value="Golf_Garage_Storage"><font size="2">Golf Garage/Storage</font><br> <input type="checkbox" name="Golf_Home_Lot_Features4" value="Golf_Course_Lot_View"><font size="2">Golf Course Lot View</font><br> <input type="checkbox" name="Golf_Home_Lot_Features5" value="Golf_Membership_Included"><font size="2">Golf Membership Included</font><br> <input type="checkbox" name="Golf_Home_Lot_Features6" value="Interior_Lot"><font size="2">Interior Lot</font><br> <input type="checkbox" name="Golf_Home_Lot_Features7" value="Lawn_Maintained"><font size="2">Lawn Maintained</font><br> <input type="checkbox" name="Golf_Home_Lot_Features8" value="New_Construction"><font size="2">New Construction (&lt;3yrs)</font><br> <input type="checkbox" name="Golf_Home_Lot_Features9" value="Patio_Deck"><font size="2">Patio/Deck</font><br> <input type="checkbox" name="Golf_Home_Lot_Features10" value="Private_Pool"><font size="2">Private Pool</font><br> <input type="checkbox" name="Golf_Home_Lot_Features11" value="Pets_Allowed"><font size="2">Pets Allowed</font><br> <input type="checkbox" name="Golf_Home_Lot_Features12" value="Security_System"><font size="2">Security System</font><br> <input type="checkbox" name="Golf_Home_Lot_Features13" value="Water_View"><font size="2">Water View</font><br> </TD> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">Golf Community Features:</font></B><BR> <input type="checkbox" name="Golf_Community_Features1" value="24_Hr_Gated_Security"><font size="2">24 hr. Gated Security</font><br> <input type="checkbox" name="Golf_Community_Features2" value="Age_Restricted"><font size="2">Age Restricted (Seniors)</font><br> <input type="checkbox" name="Golf_Community_Features3" value="Biking_Hiking_Trails"><font size="2">Biking/Hiking Trails</font><br> <input type="checkbox" name="Golf_Community_Features4" value="Boating_Marina"><font size="2">Boating/Marina</font><br> <input type="checkbox" name="Golf_Community_Features5" value="Children_Friendly"><font size="2">Children Friendly</font><br> <input type="checkbox" name="Golf_Community_Features6" value="Clubhouse"><font size="2">Clubhouse</font><br> <input type="checkbox" name="Golf_Community_Features7" value="Fitness_Center_Spa"><font size="2">Fitness Center/Spa</font><br> <input type="checkbox" name="Golf_Community_Features8" value="Parks_Playgrounds"><font size="2">Parks_Playgrounds</font><br> <input type="checkbox" name="Golf_Community_Features9" value="Tennis_Courts"><font size="2">Tennis Courts</font><br> </TD> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">Golf Course/Club Features:</font></B><BR> <input type="checkbox" name="Golf_Course_Club_Features1" value="Advanced_Tee_Times"><font size="2">Advanced Tee Times</font><br> <input type="checkbox" name="Golf_Course_Club_Features2" value="Championship_Course"><font size="2">Championship Course</font><br> <input type="checkbox" name="Golf_Course_Club_Features3" value="Equity_Membership"><font size="2">Equity Membership</font><br> <input type="checkbox" name="Golf_Course_Club_Features4" value="Formal_Dining"><font size="2">Formal Dining</font><br> <input type="checkbox" name="Golf_Course_Club_Features5" value="Golf_School_Lessons"><font size="2">Golf School/Lessons</font><br> <input type="checkbox" name="Golf_Course_Club_Features6" value="Limited_Golf_Membership"><font size="2">Limited Golf Membership</font><br> <input type="checkbox" name="Golf_Course_Club_Features7" value="Locker_Rooms"><font size="2">Locker Rooms</font><br> <input type="checkbox" name="Golf_Course_Club_Features8" value="More_Than_18_Holes"><font size="2">More Than 18 Holes</font><br> <input type="checkbox" name="Golf_Course_Club_Features9" value="Multiple_Tee_Boxes"><font size="2">Multiple Tee Boxes</font><br> <input type="checkbox" name="Golf_Course_Club_Features10" value="Private_Golf_Carts"><font size="2">Private Golf Carts</font><br> <input type="checkbox" name="Golf_Course_Club_Features11" value="Private_Membership"><font size="2">Private Membership</font><br> <input type="checkbox" name="Golf_Course_Club_Features12" value="Semi_Private"><font size="2">Semi-Private</font><br> <input type="checkbox" name="Golf_Course_Club_Features13" value="Public_Course"><font size="2">Public Course</font><br> <input type="checkbox" name="Golf_Course_Club_Features14" value="Quality_Practice_Area"><font size="2">Quality Practice Area</font><br> <input type="checkbox" name="Golf_Course_Club_Features15" value="Renowned_Course_Designer"><font size="2">Renowned Course Designer</font><br> <input type="checkbox" name="Golf_Course_Club_Features16" value="Social_Activities"><font size="2">Social Activities</font><br> <input type="checkbox" name="Golf_Course_Club_Features17" value="Walking_Permitted"><font size="2">Walking Permitted</font><br> </TD> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">Waterfront Features:</font></B><BR> <input type="checkbox" name="Waterfront_Features1" value="Ocean"><font size="2">Ocean</font><br> <input type="checkbox" name="Waterfront_Features2" value="Intracoastal"><font size="2">Intracoastal</font><br> <input type="checkbox" name="Waterfront_Features3" value="Canal"><font size="2">Canal</font><br> <input type="checkbox" name="Waterfront_Features4" value="River"><font size="2">River</font><br> <input type="checkbox" name="Waterfront_Features5" value="Lake"><font size="2">Lake</font><br> </TD> </TR> <TR> <TD colspan="2" width="384"><B><font size="2">Please provide more information on the following communities:</font></B><br> <font size="2"> <br></font><strong><font size="2">PALM BEACH COUNTY</font></strong><br> <br><input type="checkbox" name="Request_Additional_Info_On1" value="Abacoa"> <font size="2">Abacoa </font> <br><input type="checkbox" name="Request_Additional_Info_On2" value="Admirals_Cove"> <font size="2">Admiral's Cove </font> <br><input type="checkbox" name="Request_Additional_Info_On3" value="Ballen_Isles"> <font size="2"> Ballen Isles</font> <br><input type="checkbox" name="Request_Additional_Info_On4" value="Bear_Lakes"> <font size="2">Bear Lakes </font> <br><input type="checkbox" name="Request_Additional_Info_On17" value="The_Bears_Club"> <font size="2">The Bears Club </font> <br><input type="checkbox" name="Request_Additional_Info_On5" value="Breakers_West"> <font size="2">Breakers West </font> <br><input type="checkbox" name="Request_Additional_Info_On6" value="Cypress_Links"> <font size="2">Cypress Links </font> <br><input type="checkbox" name="Request_Additional_Info_On7" value="East_Pointe"> <font size="2"> East Pointe</font> <br><input type="checkbox" name="Request_Additional_Info_On8" value="Emerald_Dunes"> <font size="2">Emerald Dunes </font> <br><input type="checkbox" name="Request_Additional_Info_On9" value="Frenchman_Creek"> <font size="2">Frenchman Creek </font> <br><input type="checkbox" name="Request_Additional_Info_On19" value="Frenchmans_Reserve"> <font size="2">Frenchman's Reserve</font> <br><input type="checkbox" name="Request_Additional_Info_On10" value="IBIS_Golf"> <font size="2">IBIS Golf </font> <br><input type="checkbox" name="Request_Additional_Info_On20" value="Indian_Creek"> <font size="2">Indian Creek </font> <br><input type="checkbox" name="Request_Additional_Info_On11" value="Iron_Horse"> <font size="2">Iron Horse </font> <br><input type="checkbox" name="Request_Additional_Info_On12" value="Jonathans_Landing"> <font size="2">Jonathan's Landing </font> <br><input type="checkbox" name="Request_Additional_Info_On13" value="Jupiter_Dunes"> <font size="2">Jupiter Dunes </font> <br><input type="checkbox" name="Request_Additional_Info_On21" value="Jupiter_Hills"> <font size="2">Jupiter Hills </font> <br><input type="checkbox" name="Request_Additional_Info_On26" value="Mirasol"> <font size="2">Mirasol </font> <br><input type="checkbox" name="Request_Additional_Info_On14" value="Old_Marsh"> <font size="2"> Old Marsh</font> <br><input type="checkbox" name="Request_Additional_Info_On22" value="Old_Palm"> <font size="2">Old Palm </font> <br><input type="checkbox" name="Request_Additional_Info_On16" value="PGA_National"> <font size="2">PGA National </font><!-- <br><input type="checkbox" name="Request_Additional_Info_On25" value="Ritz_Carlton"> <font size="2">Ritz Carlton </font> --> <br><input type="checkbox" name="Request_Additional_Info_On23" value="Tequesta"> <font size="2"> Tequesta</font> <br><input type="checkbox" name="Request_Additional_Info_On24" value="Turtle_Creek"> <font size="2">Turtle Creek</font> <br><br><strong><font size="2">MARTIN COUNTY</font></strong><br> <br><input type="checkbox" name="Request_Additional_Info_On33" value="Champions_Club"> <font size="2">Champions Club</font> <br><input type="checkbox" name="Request_Additional_Info_On27" value="Cobblestone"> <font size="2">Cobblestone </font> <br><input type="checkbox" name="Request_Additional_Info_On34" value="Evergreen"> <font size="2">Evergreen </font> <br><input type="checkbox" name="Request_Additional_Info_On28" value="Florida_Club"> <font size="2">Florida Club </font> <br><input type="checkbox" name="Request_Additional_Info_On35" value="Hammock_Creek"> <font size="2">Hammock Creek </font> <br><input type="checkbox" name="Request_Additional_Info_On36" value="Heritage_Ridge"> <font size="2">Heritage Ridge </font> <br><input type="checkbox" name="Request_Additional_Info_On29" value="Hobe_Sound"> <font size="2">Hobe Sound </font> <br><input type="checkbox" name="Request_Additional_Info_On37" value="Indian_River_Plantation"> <font size="2">Indian River Plantation</font> <br><input type="checkbox" name="Request_Additional_Info_On30" value="Indian_Wood"> <font size="2">Indian Wood </font> <br><input type="checkbox" name="Request_Additional_Info_On48" value="Jensen_Beach"> <font size="2">Jensen Beach </font> <br><input type="checkbox" name="Request_Additional_Info_On38" value="Lost_Lake_Club"> <font size="2">Lost Lake Club </font> <br><input type="checkbox" name="Request_Additional_Info_On39" value="Mariner_Sands"> <font size="2"> Mariner Sands</font> <br><input type="checkbox" name="Request_Additional_Info_On40" value="Martin_Downs"> <font size="2">Martin Downs </font> <br><input type="checkbox" name="Request_Additional_Info_On31" value="Medalist"> <font size="2">Medalist </font> <br><input type="checkbox" name="Request_Additional_Info_On41" value="Monarch"> <font size="2">Monarch </font> <br><input type="checkbox" name="Request_Additional_Info_On50" value="Palm_Cove"> <font size="2">Palm Cove</font> <br><input type="checkbox" name="Request_Additional_Info_On42" value="Pipers_Landing"> <font size="2"> Piper's Landing</font> <br><input type="checkbox" name="Request_Additional_Info_On43" value="Sailfish_Point"> <font size="2">Sailfish Point </font> <br><input type="checkbox" name="Request_Additional_Info_On32" value="Willoughby"> <font size="2">Willoughby </font> <br><br><strong><font size="2">ST LUCIE COUNTY</font></strong><br> <br><input type="checkbox" name="Request_Additional_Info_On44" value="Ballentrae_Golf_Yacht_Club"> <font size="2">Ballentrae Golf &amp; Yacht Club</font> <br><input type="checkbox" name="Request_Additional_Info_On46" value="Gator_Trace"> <font size="2">Gator Trace </font> <br><input type="checkbox" name="Request_Additional_Info_On47" value="Harbour_Ridge_Yacht_Golf_Club"> <font size="2">Harbour Ridge Yacht &amp; Golf Club</font> <br><input type="checkbox" name="Request_Additional_Info_On49" value="Legacy_Club"> <font size="2">Legacy Club </font> <br><input type="checkbox" name="Request_Additional_Info_On51" value="Panther_Woods"> <font size="2">Panther Woods </font> <br><input type="checkbox" name="Request_Additional_Info_On52" value="PGA_Country_Club"> <font size="2">PGA Country Club </font> <br><input type="checkbox" name="Request_Additional_Info_On53" value="PGA_Village"> <font size="2">PGA Village </font> <br><input type="checkbox" name="Request_Additional_Info_On54" value="St_James_Golf_Club"> <font size="2">St. James Golf Club</font> <br><input type="checkbox" name="Request_Additional_Info_On55" value="Tesoro"> <font size="2">Tesoro </font> <br><input type="checkbox" name="Request_Additional_Info_On56" value="Tradition"> <font size="2">Tradition </font> </TD> </TR> <TR> <td colspan="2" align="center" width="384"> <INPUT TYPE="SUBMIT" NAME="Submit" VALUE="SUBMIT"> <INPUT TYPE="RESET" NAME="Reset" VALUE="CLEAR"> </td> </TR> </TABLE> </FORM> </TD> </TR> <TR> <TD><p class="pagefooter">Christine B. Snedaker, CRB<br>President / REALTOR &reg;<br>5500 Military Tr. &middot; Suite #32 &middot; Jupiter, FL 33458<br>Phone: 561.775.7770 &middot; Fax: 561.776.7116</p> <hr width="95%" size="2" color="#93B793"> <div align="center">[ <a href="ourplayers.html">Our Players</a> | <a href="contactarepresentative.html">Contact A Representative</a> | <a href="golfpropertyrentals.html">Golf Property Rentals</a> | <a href="newgolfcommunities.html">New Golf Communities</a> ]<br>[ <a href="localinformation.html">Local Information</a> | <a href="sellyourgolfhome.html">Sell Your Golf Home</a> | <a href="marketingpartners.html">Marketing Partners</a> | <a href="main.html">Home</a> ]<br> <font size="1">[ <a href="http://www.bluffsrealty.com">Bluffs Realty</a>&nbsp;| <a href="http://www.salesandrentalsatabacoa.com">Sales and Rental at Abacoa</a>&nbsp;| <a href="http://www.christinesnedaker.com">Christine Snedaker</a> |<font color="#0000FF"> <u><a href="http://www.optionrealtynetwork.com/">Option Realty Networks</a></u></font> ]</font><br> &nbsp;<hr width="95%" size="2" color="#93B793"> <p style="text-align: center">Hosted by <a href="http://www.apbico.com"> <font class="link">APBICO, Inc.</font></a> <br> Copyright&nbsp; 2003 <a href="http://www.apbico.com"><font class="link"> APBICO, Inc.</font></a>. All rights reserved.</div> </TD> </TR> </TABLE><div align="right"><a href="sitemap.html" style="text-decoration: none; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; font-size: 13px; color: #006400;">Sitemap</a></div> </BODY>