Agent Name *

First Name

Last Name

Agent Phone *

(###)

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Property Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Buyer Name #1 *

First Name

Last Name

Buyer #1 Phone *

(###)

###

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Buyer Name #2

First Name

Last Name

Buyer #2 Phone

(###)

###

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Lender Name *

First Name

Last Name

Lender Phone *

(###)

###

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Charge buyer any fees on Buyers' Rep Agreement? *

Yes

No

Are you wanting the FULL Contract to Close Package? *

$425

Yes

No

Do you want to add the Compliance Package? *

$175

Yes

No

Have you read the Kim Bryant Creative Partnership Disclaimer and limitations-Waiver? By clicking yes, you have signed that you agree with this waiver. *

Yes, I have read the waiver.