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  Your Name

  Surname  
 

  Email Address

Mobile Number

 
 

Phone Number

Work Number

 

 

     

 

     
 

Property Address

Suburb  
 

Post Code

State  
 

When Are You Selling

     

 

     

 

     
 

Is The Property Currently Listed With Another Agent?

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If Yes To The Above Question, Are You Going To Retain That Agent?

Yes No  

 

   

 

     
 

How Did Your Hear About Me?

 
 

From A Happy Client

Letterbox Distribution  
 

From A Friend Who Speaks Highly Of You

Internet Search  
 

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Other  
       
       
 

What Type Of Person Do You Want As Your Agent?

 
 

Has Excellent References

Honest  
 

Always Sells For The Best Possible Price

Hard Working  
 

Extensive Network Of Contacts

Knows The Area  
 

Property Marketing Expert

Excellent Negotiator  
 

Part Of An International Group

Vast Database Of Potential Buyers  
   

 

 

 

free vip membership

 

properties for sale

 

testimonials

 

free market appraisal

 

kids corner

 

go green

 

the RE/MAX advantage

 

the RE/MAX hot air balloon

 

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