J.Perreaux & M.Powell - New Client Form

Name

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Spouse/Partner/Common-Law Name

First NameLast Name

Spouse/Partner/Common-Law Phone Number

Area CodePhone Number

Spouse/Partner/Common-Law Email

example@example.com

Address

Street Address

Street Address Line 2

CityProvince

Postal Code

How did you hear about us?

Which best describes your situation?

Other

Thank you for taking the time to answer this quick form.

Your answer will allow us to prepare some helpful information for you!

If you know of anyone looking to buy or sell real estate, please feel free to forward this form link to them.

Referrals are always greatly appreciated & we would be happy to have an initial conversation with them about their real estate goals.

Regards,

Minette Powell Justin Perreaux

REALTOR®/Sales Representatives

204.720.8238 204.573.8603

MinettePowell@Remax.net JustinPerreaux@Remax.net

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