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Simply fill out this request to order and we will contact you within 24 hours or less to discuss purchasing the package selected, payment options, and/or any other questions you may have about our services.

	Package/Service	Price
	Basic Basic Marketing Exposure	$500.00
	Premium Our most popular option provides maximum marketing services and exposure	$800.00
	Full Service Representation Everything from the premium package, combined with one-to-one agent interaction.	$2800.00

Customer Information:
First and last Name:
Phone:
Fax:
Email:
Property Address:
City:
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Zip:
Mailing Address:
	Check if same as above.
Address:
City:
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Zip:
How did you hear about us?	-Select one- Referral Yard sign Promotional flyer Money mailer Selling Directly Van Other
To which agent were you referred?	-Select one- Mindy Vowell Larry Opanasenko Patty Phillips Judy Clark Beth MacCabe Terry McDonald Debra Chadwick Michael Mansour None
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