Mandatory fields marked *

Client Information

Do Not Call Registry / Referral Awareness

VERY IMPORTANT: Although you should always notify a client of a pending referral, if your client is a member of a do-not-call registry and you have selected "Phone" contact above, you are taking responsibility for the initial phone call made from this organization to your client. If you are not sure of your clients do-not-call status, please select "Email" contact above.

Relocation Information

Financial Information (Buyers)

Client Real Estate Interest: (Buyers)

Client Property Looking to Sell: (Sellers)

Residential Property Needed to Buy or Sell:

Note: if your client is a Buyer, select the criteria they require. If the client is a seller, select the features of the home they wish to sell. In the case that your client is a Buyer & Seller, select the criteria they require for Buying only.

Referrer Information

Additional Comments

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Dorianne Mark
RE/MAX Grande Prairie


10114-100 Street
Grande Prairie, AB, T8V 7S6
Phone: 780-518-2907