1107 E. Gurley Street Prescott, AZ 86301
Phone: (928) 778-2525
Toll Free:800-687-6990
Dick
and Nancy Gerber's
INFO-PACK REQUEST
FORM
Please give us as
much information as you feel comfortable with. Be sure to
include your email address in the space provided. We'll
send you a free information package to help in getting
you familiar with our area. It's as easy as 1, 2, 3!
NOTE: We don't,
under any circumstances, share this information with
anyone.
Name
(required)
Address
(required)
City
(required)
State
(required)
Zip
(required)
E-mail
(required)
Tel
Cell
FAX
How did you hear about us?
Second, tell us a little bit about your plans
How soon do you plan on moving?
How long have you been looking?
Will you need to sell your present home before buying? YesNo
I plan on visiting Prescott ..
Within the next 30 days
Within the nest 30-60 days
Within the next 12months
Have you visited Prescott before?
Yes
No
Are you currently working with a real estate agent in the Prescott area?
YesNo
Would you be interested in having us represent you?
YesNoMaybe
I am interested in: (check any
that apply) :
Single
Family Home
Condo
or Townhome
Building
Lot
Commercial
Property