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Samir Rafeedie
Realty Ambassadors
Serving The Valley of the Sun

and Prescott Areas
Phoenix Area: (623) 815-1900
Prescott Area: (928) 606-5512

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Family Profile Information

Please print this sheet, complete the information and email it to Elaine@RAHomes.com or Fax it to 623-505-1900.

Providing world-class service to you is our goal and we believe that nurturing a relationship of trust and depth is important.

In order to do so, please take a few minutes to complete the following questionnaire so we may learn more about you,

and keep in the forefront ways to support you and continually honor your needs. The information you provide will be

treated with the utmost care and kept in strict confidence. Thank you! Realty Ambassadors

 

Property Address: ______________________________________________________________

 

Occupant #1 Information:

 

Name:____________________________________

 

Email Address:____________________________

 

Home Phone:__________________________________

 

Fax Number:______________________________

 

Cell Phone:________________________________

 

Birth date:________________________________

 

Employer: ________________________________

 

Work Address: ____________________________

 

_________________________________________

 

Work Phone:______________________________

 

 

Occupant #2 Information:

 

Name:____________________________________

 

Email Address:____________________________

 

Home Phone:_________________________________

 

Fax Number:______________________________

 

Cell Phone:________________________________

 

Birth date:________________________________

 

Employer: ________________________________

 

Work Address: ____________________________

 

_________________________________________

 

Work Phone:______________________________

 

    

Wedding Anniversary (if applicable):______________________________________________

 

Children Living in Home:

Name:

Birth Date:

Age

 

________________________________________

 

________________________________________

 

________________________________________

 

________________________________________

 

 

_________________

 

_________________

 

_________________

 

_________________

 

 

_______

 

_______

 

_______

 

_______

 

 

What other special events will your family soon be celebrating?____________________

___________________________________________________________________________

Family Hobbies and Interests: ___________________________________________________________________________

 

___________________________________________________________________________

 

Favorite Restaurants: __________________________________________________________________________

Occupant #3 Information:

 

Name:____________________________________

 

Email Address:____________________________

 

Home Phone:______________________________

 

Fax Number:______________________________

 

Cell Phone:________________________________

 

Birth date:________________________________

 

Employer: ________________________________

 

Work Address: ____________________________

 

_________________________________________

 

Work Phone:______________________________

 

 

Occupant #4 Information:

 

Name:____________________________________

 

Email Address:____________________________

 

Home Phone:______________________________

 

Fax Number:______________________________

 

Cell Phone:________________________________

 

Birth date:________________________________

 

Employer: ________________________________

 

Work Address: ____________________________

 

_________________________________________

 

Work Phone:______________________________

 

 

 

Property Address:______________________________________________________________



Samir Rafeedie | 623-815-1900 | Contact Me
Serving The Valley of the Sun and Prescott Areas
Copyright © 2017, All Rights Reserved

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