License Number: RB065661
730 North Duke Street
Lancaster, PA  17602
A PA Licensed Real Estate Company

 Please complete the form below.

          

     1. Are you currently working with another Realtor?

         If Yes, name of Realtor    Firm

  

   2. Listing # you would like to tour?       
    

   3. Dates and times you are available to tour home:

First Choice Date
Time Frame Available
2nd Choice Date
2nd Time Frame Available

         

 

 

 

     3. Please tell us how to contact you:

First Name

Last name
Mailing Address
City
State
Zip
Home Phone
Best Time To Call
Cell Phone
Best Time To Call
Work Phone
Best Time To Call
E-mail Address

           

 

 

 

 

 

 

 

 

 

    4. Comments:

 

 

 

Thank you for choosing Real Choice Real Estate, Inc.
  We will contact you as per your instructions regarding this matter.
All information received will remain confidential.

 

 


J. Michael Stum
Copyright © 2001 Real Choice Real Estate, Inc.. All rights reserved.
Revised: 01/05/08.