Info Request Form - Bay Area Home Buyer Agents

Information Request Form

If you would like to recieve one of our FREE INFORMATIONAL CDs or VIDEO CASSETTES please provide your mailing address at the bottom of this form.

We respect your right to privacy. Your personal information will never be given or sold to any third party with out your permission.

Fields marked with a * are required.

*In which county are you seeking property?

Note: Hold down control key to select more than one county.

Which towns/cities/areas are you especially interested in?

When do you expect to begin looking for property?

Already looking

Immediately

3 to 6 months from now

6 months to a year from now

Over a year from now

Have you ever purchased property before?

Yes

Have you already spoken to someone about financing?

Yes

What is your maximum price range for a home?

What issues or concerns would you like to discuss?

*Proper Salutation

Mr.

Mrs.

Ms.

*First Name, Last Name

*Area Code

*Telephone Number

*Email Address

If you would like a FREE INFORMATIONAL CD or VIDEO CASSETTE please specify which format you would like and provide a complete mailing address in the field below

31 E. Julian Street--- San Jose --- CA --- 95112--- 408-524-0624
email: rporter@buyerbroker.ws