REMAX Real Estate Agent to Agent Referral Form

Northern Virginia Remax Choice real estate

Dave Skiffington RE/MAX Choice
800-223-6839
703-405-7900

Northern VA (Washington DC suburbs)
RE/MAX Referral Agent

Yes, we accept Realtor referrals from our valued colleagues!

Realtors, do you have a client relocating to or from the Northern Virginia / Washington DC area? Send your referrals to a REMAX agent
who is dedicated to providing his clients with world class service. Your sterling reputation with your referral will be
preserved when they receive service that exceeds their expectations. Please fill out the form below and I will contacting
you immediately.

As a referring Realtor, your expectations regarding our service, value and honor is our highest priority.

(* Indicates required information)

Please provide your information so we can follow up with you about your referral:

Your Name*

Company

Address

City, State, Zip

Work Phone*

Home Phone

FAX

E-mail*

Please provide the following information about the client:

Clients Name

Address

City State Zip

Work Phone

Home Phone

FAX

E-mail

Who is the best person to talk with?.

When is the best time to call?

Are they expecting our call?

How are you associated with the client?

Seller Questions

When does the client plan on selling?

What is the property address? (if different from clients address)

What type of property are they selling? (house, condo, land, etc)

What does the client think their property is worth?

Where are they moving to?

Buyer Questions

When does the client plan on buying?

What type of property do they want to buy? (house, condo, land, etc)

What areas are they interested in?

What price range will they be buying in?

Do they have a home to sell?

Yes No

If yes, what is the status of the property?

Do they plan on renting before buying?

Agent terms, additional questions or comments?

Dave Skiffington

RE/MAX Choice

10511A Braddock Rd

Fairfax VA 22032

703-405-7900

email: skiff@earthlink.net

web: www.fairfax-homes.com

RE/MAX offices are Independently Owned and Operated

Your Name*
Company
Address
City, State, Zip
Work Phone*
Home Phone
FAX
E-mail*

Clients Name
Address
City State Zip
Work Phone
Home Phone
FAX
E-mail