Request Additional Information or Provide Feedback

Type of Information Request

	I would like more information about one of your properties
	I plan on selling my home - I would like more information about your services
	I plan on buying a home - I would like more information about your services
	Other Information Request or Feedback

Optional Questions

Current Status:

Own Condominium or House
Rent
Not Specified

How soon do you plan to purchase?

Right away
Within the next 3 months
3 - 6 months
6-12 months
No specific plans

Do you need to sell your existing home prior to buying?

Yes
No

Would you like a current market analysis on your home?

Yes
No

What is important to you in working with a Realtor?

What is your preferred method of communication?

Phone
E-mail
In-Person Meetings

Are you currently working with a Realtor?

Yes
No

Is your home currently listed?

Yes
No
Not Specified

Do you have commercial real estate also?

Yes
No

Your Information

First Name:

Last Name:

Address:

City:

State/Province:

Zip Code:

Phone:

E-mail:

Your Comments:

Richard D. Willard, CRS
Windermere Real Estate/East, Inc.
435 108th Ave NE
Bellevue, WA 98004
Mobile: (206) 200-8100
Office: (425) 455-9800