| This is not a solicitation if your house is now listed with another broker. | |
| YES NO I would like to know the current market value of my home. | |
| Name: | ________________________________________________ |
| Preferred Contact: | Day Phone Home Phone Fax Address |
| E-mail: | ________________________________________________ |
| Home Phone: | ________________________________________________ |
| Day Phone: | ________________________________________________ |
| Fax: | ________________________________________________ |
| Address: | ________________________________________________ |
| City: | ________________________________________________ |
| State: | ________________________________________________ |
| Zip: | ________________________________________________ |
| Message: | |