Rick: (780) 913-5405 • Patrick: (780) 233-7115

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REALTOR®-to-REALTOR® Referrals

If you are a REALTOR® looking for another REALTOR® to handle a client that is not in your area, please complete the following referral form and we will handle your client(s) with the utmost professionalism.

* Indicates Required Field
REALTOR® REFERRAL FORM
Client Information
* My client is a:
* Client Name: * E-mail:
Address: City:
Province/State: Postal/Zip:
Country:
Phone: Fax:
Schedule
Date of move: Year:
Employer Relocation: Yes No Employer:
Financing
Prequalified: Yes No Lender Name:
Other: Amount:
Home needed to buy or sell
Additional Notes:
Client's preferred method to receive updates
Phone Fax Email Postal Service
Agent Information
* Sales Rep Name: * Agency:
Branch or location: E-mail:
Mailing Address: City:
Telephone: Pager:
Fax: Cellular:
Agent's preferred method to receive updates
Phone Fax Email Postal Service
Image Verification:
Please enter the seven letters that appear in the image below.
© 2008 Rick and Patrick Milligan | Sturgeon County Real Estate | Real Estate Marketing by Internet Brokers Group