Buyer Referral

PRN Referring Agent

Email

Contact Number

Do you wish to specify a specific Agent?

Yes

No

If no, we will place the seller with a qualified agent. If yes, please fill out the following information:

Agent Name

Agent's Sponsoring Broker

Agent's Email

Agent's Contact Number

Buyer information:

Buyer Name

Buyer Email

Buyer Contact Number

Areas of Interest:

Price Range:

Is Buyer Preapproved?
YesNo

Timeframe for Purchase:

Immediately

Within next 6 months

Within next 12 months