On behalf of the homeowner and our team,

thank you for signing in…

First Name *

Last Name *

Email

Mobile Number *

Spouse/Partner (if applicable)

First Name

Last Name

Email

Mobile Number

Do you own or rent? *

OWN

RENT

Have you signed a “Buyer Representation Agreement” with a REALTOR? *

YES

NO

If YES, please enter the name of your REALTOR. Thank you!

By proceeding, you expressly consent to receive texts and or emails at the number/email you provide, including marketing, from RE/MAX HENDRIKS TEAM REALTY about real estate related matters, but not as a condition of purchase.

Jerry Hendriks
Broker of Record

RE/MAX HENDRIKS TEAM REALTY