Client Initial Request Form
THANK YOU FOR CONTACTING REALTOR ASSOCIATE ILIA!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about me?
*
Website
WhatsApp
Instagram
Facebook
LinkedIn
Referral
Other
Which best classifies your need for a real estate agent?
*
Buyer (I am looking to purchase)
Renter (I am looking to rent)
Seller (I am looking to sell)
Landlord (I am looking for a tenant)
What best describes the subject property?
*
Residential Land
Residential Home
Commercial Land
Commercial Building
Are you currently working with a real estate agent?
*
Yes
No
I'm not sure
Have you ever worked with a real estate agent before?
*
Yes
No
Are there other key person(s) involved in this decision/transaction?
*
Yes
No
If you are a seller or landlord, where is your property located? If you are a buyer or renter, what is your area(s) of interest?
*
City/District, Parish
How soon are you ready to proceed with this decision/transaction?
*
Immediately
Within 1 - 7 days
Within 7 - 14 days
Within 12 - 28 days
Within 1 - 3 months
Within 3 - 6 months
Within 6 - 12 months
Just looking around
If you are a buyer, do you already have a pre-approval or eligibility letter?
*
Yes
No
I'm not a buyer
What is the best method to reach you?
*
Email
Direct Call
WhatsApp Call
WhatsApp Message
What is the best time of day to reach you by phone?
*
Between 7 - 9 am
Between 12 - 1 pm
Between 5 - 6 pm
Anytime
Submit
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