Please critique this paper

I am going to have people fill these out at my Rei club to help establish my buyers network. I will take them home and create a spread sheet. What am I missing? I would appreciate any suggestions.




    XXXXX COUNTY WHOLESALERS
  WHOLESALE BUYER INFORMATION

NAME:

PHONE NUMBER:

E-MAIL:

PRICE RANGE:

PROJECTED REHAB COSTS YOU ARE LOOKING FOR:

TYPE OF PROPERTY YOU ARE LOOKING FOR:

PROPERTY CONDITION YOU ARE LOOKING FOR:
(SHELL, NEEDS CARPET & PAINT, ETC)

OTHER INFORMATION ABOUT PROPERTIES YOU ARE LOOKING FOR:

I updated it.



          XXXXX COUNTY WHOLESALERS
       WHOLESALE BUYER INFORMATION

NAME:

PHONE NUMBER:

E-MAIL:

THE FOLLOWING INFORMATION IS OPTIONAL BUT WILL HELP
US FIND WHAT YOU ARE LOOKING FOR.

PRICE RANGE (@70-75% ARV):
40-70K 70-100K 100-150K 150K+

PROJECTED REHAB COSTS YOU ARE LOOKING FOR:
10-20K 20-30K 40-50K 50K+

OTHER INFORMATION YOU FEEL IS IMPORANT:

MY CONTACT INFO