Referral Form
Referral Type
Commercial
New Home Sales
Realty
Relocation
Referred By
Name:
Office/Tract:
Phone:
FAX:
Referral Fee %:
Referred To:
Office/Tract:
Client Information
Name:
E-Mail:
Address:
Home Phone:
City:
St
Zip
Work Phone:
Source:
Other Phone:
Previous contact with a McMillin Agent
Contact:
Comments:
Listing Information - SELLER
Property Address:
For land, parcel # or description:
Property Type:
House
Condo/Townhouse
Land (Size)
Other
Bedrooms:
Baths:
Listed Before?
When?
Company
Reason for Sale:
Contingency Sale
Comments:
Purchase Information - BUYER
Destination(s):
Reason for move:
Property Type:
House
Condo/Townhouse
Land (Size)
Other
Bedrooms:
Baths:
Approximate Price:
Client Prequalified?
Lender Name:
Comments: