Our Agent Contact Information


Prefer to use the fax form click on PDF form Referral Short Form

Here is the our contact information for your referral from us:

Marty & Laurie Gale

RE/MAX METRO

5383 South 900 East Suite #102
Salt Lake City, Utah 84117

Marty's Direct: 801-205-3500    Toll Free:1-877-898-9502

Laurie's Direct 801-205-3500    Toll Free: 1-877-898-9530

Fax: 801-327-3245

marty.gale@remax.net

Laurie.Gale@remax.net

We Pay a 25% fee on the Commission Earned. (Gross Commission)

Please provide your contact information in the following box.

If just adding yourself to our outgoing referral data base leave client section blank

Your Agent Contact Information


Prefer to use the fax form click on PDF form Referral Short Form
Agent First Name: *
Agent Last Name: *
Office Name: *
Address:  
City:  
State/Prov:  
Zip/PC:  
Country:  
Email: *
Office Phone:  
Fax: Number  
Cell Phone:  
Office Tax Id: *


 

Your Client Contact Information


 
Please provide information about the referring client in the form below. This is the contact information that will be sent to the Gale Team.

* indicates required fields


 
Client First Name: *
Client Last Name: *
Current Address:  
Current City:  
Current State/Prov:  
Current Zip/PC:  
Current Country:  
Current Home Phone:  
Current Work Phone:  
Current Cell Phone:  
Number of Adults in Move:  
Number of Children in Move:  
Next Home Finding Visit Date:  
Expected Move Date:  
Additional Information:
(Limit 135 chars.)
 


 

Current Client Property Information


 
The fields below will give the agent receiving this referral more information about the client's current property situation. Please complete to the best of your knowledge.

 
Client is a:   Owner Renter Unknown
Estimated Listing Price:   $
Does client have to sell property before relocating:   Yes No Unknown
Has the client been pre-qualified:   Yes No Unknown
Lender Name:  
Reason for move:
(Limit 180 chars.)
 


 

Desired Property Information


 
The fields below will give the agent receiving this referral more information about the client's desired property. Please complete to the best of your knowledge.

 
Price Range:   $  to $
Estimated Down Payment:   $
Desired Monthly Payment:   $
Preferred Home Style:   Single Family Home Condo/Town Home
    Other
Number of Bedrooms:  
Number of Baths:  
Desired Square Footage:  
Is the client familiar with the new area:   Yes No Unknown
Preferred Area of Relocation:  
School Requirements:   Elementary Jr. High Sr. High College
Additional Requirements:
(Limit 180 chars.)
 

Referral Agreement Details


 
The information below will confirm the referral agreement that has been offered by the referring agent to the receiving agent.

 
The Referral Fee will be based on:  
     
Referral Fee Amount:  
As sending Agent I Request a Signed Copy of this form faxed to the following:
Fax: Number  

Add Me To Your

Outgoing Referral List

 

       


 

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Gale Team - RE/MAX Metro - Salt Lake City, Utah
801-205-3500 - 801-205-1600 - Toll Free 877-898-9502 - fax 801-327-3245