PROPERTY REQUEST FORM
 
 What Type Of Real Estate Are You Interested In?
 Just fill in the our questionnaire (All info is strictly confidential)
 Select as many as you would like.
 
 Desired MLS# or Listing# ( If you happen to know it )
 Home In The City
 Home In The County
 Home On The River
 Home On The Creek,
 Ranch / Horse Property
 Vacant Land
 Commercial/Investment
 In Josephine County? ( Grants Pass, Merlin, Cave Junction, Surrounding)
 In Jackson County? ( Medford, Ashland, Rogue River, Surrounding)
 I'm Not Sure ( We will check out entire area)
 A Specific City?
 How Many Bedrooms?
 How Many Bathrooms?
 Square Feet Approx.
 Price Range Approx.
 
 Contact Information
 E-mail *required
 Your Name *required
 Address
 City
 State
 Zip
 Phone
 Fax
   
 Specific Requests, Comments, Questions, etc...
 
 
BECKY CAMPBELL, Broker
Cell: 541-660-8626 Office: 541-476-6502
Fax: 541-479-7162
E-Mail
CENTURY 21 JC Jones AMERICAN DREAM
858 NW 6th St. Grants Pass, OR. 97526