Your Information

Your Name *

Client Information

Client's Name *

How do you know the client? *

I am referring myselfFamily memberFriendFormer clientNeighborCo-workerBusiness or professional contactOther

Have you spoken with the client about the referral? *

YesNo

Has the client agreed to be contacted by a real estate agent? *

YesNo

Is the client already working with another real estate agent? *

YesNoUnsure

Referral Information

Is the client buying, selling, or both? *

BuyingSellingBuying and selling

Property Type *

ResidentialInvestment propertyRental property or portfolioCommercialLandOther

Approximate Price Range

Expected Timeframe *

ImmediatelyWithin 30 daysWithin 1-3 monthsWithin 3-6 monthsMore than 6 monthsUnsure

Additional Details

Please include anything that may help.

Referral Confirmation

I have an existing personal or professional relationship with the client.The client has agreed to be contacted by a real estate agent.The client is not currently represented by another agent.I have not promised the client a specific agent or referral fee.I understand that Arch Referral Network will select the receiving agent and arrange the referral agreement.