3. About You
Your First Name:	Your Last Name:
Your E-mail: (example@msn.com)	Yes, I'd like to receive the Watkins Realty Group newsletter
Co-borrower's First Name:	Co-borrower's Last Name:
Street Address:	City:
State:	Zip Code:
What is the best time to contact you? AM  PM	How long have you been at your current job?  Select Less than 6 months 6-12 months 1-2 years More than 2 years Retired
Please supply your work or home phone number(s) below: Ex. (555) 444-3333 Work Phone: Ext. Home Phone:	Are you self-employed? Yes   No

By submitting this form you authorize Watkins Home Loans to search our network of lenders to find the best possible loan program and rate available for your needs. Within a few days you will receive free no obligation quotes. You choose the lender with the best loan terms and save money!