KELLER WILLIAMS REALTY REFERRAL INFORMATION FORM
SENDING AGENT OFFICE INFORMATION
Agent Name
Brokerage/Team Name
Street Address
City, State Zip
Office Phone
Format: (000) 000-0000.
Mobile Phone
Format: (000) 000-0000.
Email
example@example.com
Tax ID
What type of client is this?
Please Select
Buyer
Seller
Both
SECTION 2 - SELLER INFORMATION
Seller Name
Seller Street Address
Seller City/State/Zip
Seller Office Phone
Format: (000) 000-0000.
Seller Mobile Phone
Format: (000) 000-0000.
Seller Email
example@example.com
When to Make Initial Contact
Property Address to Be Listed
Additional Helpful Information About Seller Referral?
SECTION 3 - BUYER INFORMATION
Buyer's Name
Buyer Street Address
Buyer City/State/Zip
Buyer Mobile Phone
Format: (000) 000-0000.
Buyer Email
example@example.com
Buyer Preferred Location
Price Range
Additional Helpful Information About Buyer Referral?
THE EVELO TEAM AGREES TO ACCEPT THIS REFERRAL FOR
25
%
REFERRAL FEE.
Submit
Should be Empty: