Fill out as much as you would like and keep in mind that the more information I have, the better I can serve your needs.

First Name:

Last Name:

Address:

City:

Zip Code:

Home Phone:

Cell Phone:

e-mail:

Fax:

Preferred Contact Method:

 Real Estate Interested In:

Residential Home (complete buyer sheet below)

Residential Income

Commercial - Income

Commercial - Business

Rehab

Land

Investment

In the Market to:

I plan to be in the market in:

Services Intrested in:

Listing Agency - Selling your current property

Buyer Agency - Buying a new property

Comparative Market Analysis (Property Valuation)

Target Market Updates

Design & Remodeling Consulting

Monthly Market Update Newsletter

Other Questions or Comments:

Where did you here about mgalexrealestate.com?:

Please complete this information to let me know what type of property you are in the market for. As long as I have your name from the client profile I will not need phone, e-mail etc. in this form.