Referral Application Step 1 of 3 33% Information about the potential customerWhat does the customer want to do ?(Required) Buy a home Sell a home Both Customer InformationCustomer Name(Required) Address(Required) Apt/Unit #(Required) City & State(Required) Zipcode(Required) Preferred Phone #(Required)Preferred Email(Required) Complete this section if customer wants to buy a homeType n/a in the required fields if they are looking to sell a home.City / Area of Interest(Required) Price Range ($)(Required) Preferred Type of Housing(Required) Preferred # of Bedrooms(Required)01 23456+Preferred # of Bathrooms(Required)0123456+Need Financing ?(Required) Yes No First Time Home Buyer ?(Required) Yes No Additonal Comments Complete this section if customer wants to sell a homeType n/a in the required fields if they are looking to buy a home.Address(Required) Apt/Unit #(Required) City & State(Required) Zipcode(Required) PhoneThis field is for validation purposes and should be left unchanged.