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5/23/2014
Outgoing Referral Client Information Form
Date :___________________________ Check One:
Agent: _____________________________________ Email: ________________________________________
Phone: _____________________________________ Office: _______________________________________
Client Name: ______________________________________________________________________________
Current Address
____________
Home Phone: ___________________________ Cell or Work Phone: _________________________________
Relocating with Employer? If so, who is company?
____________
Family: Adults
Age/Boys
Age/Girls __________ Pets ______________
City ___________________________________ State or area:
______
Family needs and / or special interests: __________________________________________________________
__________________________________________________________________________________________
Buyer:
Type of Residence Desired: New Construction
______ or Existing Home __________________
Style of Home (i.e., ranch, bi-level, colonial)
____________
Bedrooms
Baths
Garage ______ Commute time _____________
Additional Requirements:
____________
Price Range $
Date of house hunting trip or visit
______
AGENT: Fax to: 866-318-9120 or email:
relocation@bobparks.comJennifer Honeycutt, Relocation Coordinator
Direct dial: 615-574-7321
Buyer
Seller