Residential Registration Form

* Signifies required fields. All contact information will be kept confidential.

First Name	*
Last Name	*
Street Address	*
Address (cont.)
City	*
State/Province	*
Zip Code	*
Mobile Phone
Home Phone	*
E-mail	*

Which of the One Riverside home styles would you be interested in?

  .. City home over retail Townhome Live/Work townhome

How did you hear about One Riverside?

  .. Newspaper Realtor Signage Friend

If you selected Newspaper, please select the publication:

  .. The Sunday Paper Creative Loafing Southern Voice Atlanta INtown The Story AJC - Intown Living AJC - Eastside Real Estate Other

If you selected Other Newspaper, please specify here:

Are you currently working with a realtor?

Yes No

Realtor's Name:

Realtor's Company:

Realtor's Phone:

Realtor's Email:

Do you presently own or rent?

  .. Own Rent

What type of housing do you currently live in?

  .. Apartment Condominium/Townhome Single Family House Temporary Housing

How would you prefer to be contacted?

Home Phone    Mobile Phone  Email         Postal Mail