RealtyGuide's E-mail Only Referral Form


If you can see text entry blocks displayed in the form below, then you should be able to use this form. Its purpose is to provide a forum for participation in RealtyGuide to those realty professionals (or affiliates) who lack a website or home page of their own (anybody else can be linked to RealtyGuide, using the Add-Link form).

If you can be reached on the internet only by electronic mail, just fill out the blanks and we will add your name to the referral list without charge. Please be specific - a detailed response is much more likely to generate referrals. You can view or download the referral list from RealtyGuide's INFO page.

Your Full Name : 
Designations   : 
Company Name   : 
Address        : 
City           : 
State/Province :  
(Use an abbreviation, please)

Country        :  
(Leave blank if in USA)

Zipcode        : 
Home Phone     :  
(Format = 800-555-1212)

Work Phone     : 
Fax Phone      : 
E-Mail Address : 
WWW URL, if any: 


Now tell us the area of real estate in which you specialize (eg., 
residential) and specifically what geographical area you cover.


Your Specialty : 
Geographic area: 


Enter today's date in this format MM/DD/YR (Month/Date/Year).


Effective date :

What else would you like the world to know about you?. Please enter your brief message here, then click on "Send" when you are finished (note the limit of five lines of 66 charecters each - any excess will be deleted):

- Select to Send message - Select to Clear Form

realtor1@xmission.com
Page Revised: 04/01/08