Referral Form

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Realtor Referral Form

To: Steven Porter
RE/MAX Aboutowne Realty Corp.
67 Lakeshore Rd. West,
Oakville, Ontario
Canada L6K 1C9
Office: 905-338-9000, Direct: 905-875-2582, Fax: 905-875-1243
E-Mail: steven@stevenporter.ca
Website: www.homesresource.com

We are referring a .

Referring Office: Broker Name: Salesperson: Street Address: City: Prov./State: Country: Postal/Zip Code: Office Phone: Other Phone: Fax: E-Mail:
Contact: Contact Names: Street Address: City: Prov./State: Country: Postal/Zip Code: Home Phone: Other Phone: Desc.: Fax: E-Mail: His Occupation: Her Occupation: Status Of Present Home: Currently listed at: Not yet listed (will sell for: ) Sold at: ; Equity: Renters Reason For Move: Move definite: Yes, No
Price Range: Home Style: New Resale - Age: Approx. Size:	Down Payment: Area: Bedrooms: Special Needs:
Number in family: ; Boys: Ages: ; Girls: Ages: School Requirements: Expected date of arrival: Familiar with area? Yes No Transfer Date: Planned move date:

Referral Acknowledgement:
Referral Fee: Twenty-five percent (25%) of the
Listing, Selling commission.
Acknowledged by:
Date:

Please print a copy of this form prior to selecting the submit button below. Give a copy to your Office Manager and retain a copy for your records.

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Steven J. Porter
Sales Representative
Direct: 905-875-2582, Office: 905-338-9000
e-Mail: steven@stevenporter.ca

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