Thank you for calling The National Mortgage Center! My name is ___________ and I will be happy to assist you today.   1. Are you a first time caller?      YES NO 2. Are you looking to get a free quote regarding Refinancing your home, or a new purchase?      PURCHASE REFINANCE 3. Do you live in a Single family Residence not a mobile or manufactured home?      YES NO 4. Do you have POOR credit? (A credit score lower than 580)      NO YES  Please Fill Out Contact Information: Please name the individual(s) that will be applying for this loan: * Borrower's Name: Co-Borrower's Name (if applicable): * Street Address * City * State Click to Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip Code * How old are you? * Home Phone (no dashes needed): Work Phone (no dashes needed): * E-mail Address: * When is the best time to contact you? Click to Select Morning Afternoon Evening