O'NEILL Home Corporation

O'Neill Home Corporation
127 Willowbrook Lane
West Chester, PA 19382

For Information Call: (610) 466-1811

Personal Information:

Email Address:

Required

First Name:

Required

Last Name:

Required

Address:

Required

City:

Required

State:

Required

Zip Code:

Required

Phone Number:

Fax Number:

Demographic Information:
(This information is optional but will help us better ascertain your needs)

We currently Own our home:

We currently Rent:

Other:

Age:

18-24:

25-34:

35-44:

45-54:

55-64:

64(+):

Annual Household Income (K=$1,000):

75K-100K:

100K(+):

Relocation Information:

We currently live in this market and are considering purchasing in this market:
We are relocating to this market:

We plan on moving within

If you are relocating, please answer. If not, leave blank:

I am being relocated by my employer:

Yes

Employer is:
Located in:

Type of Housing we are interested in (you may check both):

Single-Family:

Townhome / Condominium:

Other:

Comments: