Request For More Information

Thank you for your interest in letting me serve your real estate needs! Please take a moment to fill out the following information so I can respond to your request.

All the information submitted here will remain strictly confidential. If you have any concerns, or if you prefer I contact you (or not) by a certain means, please let me know in the "special needs" area below.

About you:

Your Name
Your Address
Address (cont.)
City
State
Zip code
Work Phone Number
Home Phone Number
FAX Number
Your E-mail Address

About your real estate needs:

Are you interested in buying or selling a home or property?:

Buying
Selling

Please supply the MLS number of the home or property (if applicable)


Please describe any special needs or considerations you may have:


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Century 21 1st American
8830 E. Speedway Blvd
Tucson, AZ 85710
(520) 296-5491

Copyright 1999, Eric Schrader. All rights Reserved

Last revised: June 10, 1999