Client Registration
 
Please provide the following information and a real person will reply!
(Information is secure and shared only with your agent)
 
First Name(s) *
Last Name *
Street Address
State *
City *
Zip/Postal Code *
Country *
Primary Phone *
Alternate Phone
Email Address *
 
Do you wish to * Buy Sell (Sorry, no rentals)
Home loan needed? Yes (We have lenders available)
Sell Details
Same as above
Where?  *
In what city? *
Street address  *
Zip/Postal Code  *
Approximate Date  *
Approx. Price Range  *
Selling Comments:
The following information is essential for your agent:

Buy Details
In What State?  *
In what city?  *
Approximate Date  *
Approx. Price Range  *
Number of Bedrooms: *
Bathrooms: *
First time home buyer? 

Use the space below for additional information such as:
1. Work address with zip—helps us to minimize commute
2. General area of town in which you wish to live (if you know)
3. Family Size, special needs, school district, etc.
Home Loan Details
  Same as Buy Details
Property location: *
In what city? *
Approximate Date *
Approx. Price Range *
Home Loan Comments: 

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