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Charles L. Martin
6871 Bottlebrush Ln.

Naples FL 34109

Phone: 239-594-2929
Fax: 239-594-2954
 
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Property Referrals Form
Thank you for taking your time to fill out this simple form for a property referral. I will contact you as soon as possible.
 
FIRST STEP: Email Me Now
 
Are you a: Buyer Seller Agent
Full Name:
Email:
Business Name:
Street:
City:

Postal Code

Zip
Country Code
Country
Phone:
Fax:
   
2ND STEP: BUYERS, PLEASE FILL OUT THIS SECTION
   
What type of Property are in interested in?
   
What is your price range?
 
What is your currency type?
 
   
2ND STEP: SELLERS, PLEASE FILL OUT THIS SECTION
   
What type of property are you selling? 
   
Where is the property located?
(Please indicate city and country if outside U.S.)
 
   
2ND STEP: AGENTS PLEASE FILL OUT THIS SECTION
Are you referring:    
  A Seller Buyer
Do you have property you would like for us to advertise?
  Yes No
Do you want more information?
  Yes No
 
FINAL STEP: SUBMIT FORM
Other questions:
   
 

 
Dana Martin
Relocation Specialist
 

 
9405 Mill Brook Road
Louisville, KY, 40223
Direct: 800-928-7362
Cell: 502-553-8844
 
Information contained herein is deemed accurate and correct,
but no warranty is implied or given.
 
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