Home & Real Estate Digest Order Form
We Are Accepting Fall Orders
Please follow the instructions to complete our confidential order form below
GENERAL INFORMATION
Full Name:
Title: Co. Name:
Address:
City/State: Country: Zip:
Phone #1: Phone #2:
Email: Website:
Fax #:
Type of Service?
Broker
Agent
Mortgage
How many newsletter copies would you like?
250
500
1000
Custom Quote : ___________
Premium Agent’s Package Premium Mortgage Package
Do you need the following services?
Photography
Assembly of Listing Packets
Mailing Services
How many months would you like to sign-up for?
Monthly
Quarterly
Bi-Monthly
Please indicate starting Month: ___________________ Year: _________
How would you prefer we contact you?
Email
Phone
Mail
If by phone, when is the best time to call?
Morning
Mid-to-late afternoon
Comments:
Tell us what you think about our web site or anything else that comes to mind. We welcome all of your comments and suggestions.
What kind of comment would you like to send?
Complaint Problem Suggestion Praise
What about us do you want to comment on?
Web Site Company Products Store Employee (Other) Other:
Enter your comments in the space provided below:
Tell us how to get in touch with you:
Name
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FAX
Please contact me as soon as possible regarding this matter.
Please make checks or money orders payable to Home & Real Estate Digest 2510 E. Sunset Rd. #5-157 Las Vegas NV 89120
Home & Real Estate Digest
Copyright 2006. All rights reserved.