If you have a client who is relocating to the Phoenix area or looking for investment or recreational property here we would be pleased to forward an information package as tailored to their needs as possible.

Thank You-
Mary Couzens, Broker
Mary Couzens Realtors.

 For more accurate information , please give as many details as you can in the following form:
  Referring Office Information:  Required *
 
Referring Agent:*   Referring Office:
 
Address:   City / State:
 
Postal / Zip Code:   Fax:
 
Phone Number:*   Web Site:
 
E-mail:    
   
 
  Client Information: 
 
Seller Referral:
Buyer Referral:
 		  
 
Referring Agent Name:
   Referring Office Name:
Client Name:*   Employer:
 
Address:*   City / State:
 
Postal / Zip Code   Fax:
 
Phone Number:*    
   
E-mail:    
   
Property Address (if different):    
   
 
  Status of Clients Present Home: (if applicable)
  Not Listed:   Must Sell:   Renting:
  Sold For: $  Equity:    $ 
  Currently Listed with:
  Reason for Move:    Transfer:   New Job:
 
 
 Other Details
      

 
 
Thank you for your referral and for taking the time to provide this information.

 
 

 

    

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