Please provide your contact informatin and the sellers contact information. Your contact inormation will be held in confidence. Some one from my team will contact you to verify the information. We appreciate and thank you for your referral.

	Your Contact Information (Please complete all fields)
		First Name: Last Name: Cell Phone: Daytime Phone: Evening Phone:		EMail: Street Address: City: State/Province: Zip/Postal Code:

Your Friend's Contact Information
	First Name: Last Name: Cell Phone: Daytime Phone: Evening Phone:	EMail: Street Address: City: State/Province: Zip/Postal Code:

We take your privacy seriously.
Your personal information is collected to send you the additional information that you requested about the real estate, mortgage, and affiliated products and services. If we cannot provide a product or service it may be provided by another agent or broker. For details please see the real estate marketing website privacy policy.

RE/Max Accord 39644 Mission Blvd Fremont, CA 94539

Phone: 510-754-4242 Fax: 510-252-1322
Rekha@rekhachatwani.com Privacy Policy