Is your client a buyer or seller?

Clients Name:

Clients Address:

Clients City, State, Zip:

Best phone number to contact client?

Clients Fax, if applicable:

Does the client know we will be contacting them?

Your Name:

Your Brokerage Company's Name:

Address:

City, State, Zip:

Your best contact phone number:

Your Fax:

Your E-mail:

Questions about your client:

How are you associated with the client?

How soon does this client plan on buying?

Do they have a home to sell?

Is it currently listed by you?

What is the list price? Is it priced to sell?

At what price range will they be buying?

Do they plan on renting before buying?

Feedback Box- If you have any other questions or comments please let us know.