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         'Client For Life Club' Questionnaire       

Providing First-Class Service to you is our goal, period!  In order to do so, we believe that nurturing a relationship of trust and depth is important.  Please take just a few moments and complete the following questionnaire, so that we may continually give you more value-added services.  The information you provide to us on this form is considered CONFIDENTIAL and will not be given or sold to anyone else.
 

Your Information:


First Name:

 
Last Name:
E-mail Address:

Work Phone:

Home Phone:

Cell Phone:

Employer:

Position/Title:

Favorite Magazines/Books:

Spouse/Partner Information:


First Name:

 
Last Name:
E-mail Address:

Work Phone:

Home Phone:

Cell Phone:

Employer:

Position/Title:

Favorite Magazines/Books:

Children's Names:

Name:

   
Name:

   
Name:

   
Name:

   
Name:

   
Name:

   
   

Family Pets:

Name:

 Type:

Name:

 Type:

Name:

 Type:

   
Which of the following items do you like?
Blockbuster Video Entertainment Book Graeter's Ice Cream
Movie tickets Home Depot/Lowe's Busken's Bakery
Cookies Chocolate Starbucks
Bruegger's Bagels Car Washes LaRosa's
Gasoline Card Toys R Us Barnes & Noble
     
Which local entertainment events do you enjoy?
Riverbend Cincinnati Reds Cincinnati Bengals
Kentucky Speedway Cincinnati Cyclones Live Theater/Ballet
Cincinnati Cyclones Auto Shows ATP Tennis
U.C. basketball/football Xavier basketball Cincinnati Zoo
Children's Programs Museums Other
     
From the list below, please check your 3 favorite interests and activities:


You


Spouse/Partner

 
Are there any special, upcoming events for you and/or your family?
   
Vacations:
Graduations:
Weddings:
Births:
Retirements:
Others:

Thank you for taking your time to complete this questionnaire.
This will help us serve you better.

      

 

 

 


 
 Dan Weis, CRS, GRI, e-Pro
 Consultant Since 1985
 Licensed in State of Ohio
 RE/MAX Unlimited Realtors
 7870 E. Kemper Rd. Ste.100
 Cincinnati, Ohio 45249
 Direct Line: (513) 615-1890
 Toll Free: (877) 859-6133
 Email: dan@danweis.com
 
 
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Privacy Notice:

We respect your e-mail privacy. We hate spam too! Your information will never be shared with or sold to anyone. Copyright 2007 Dan Weis, Comey & Shepherd Realtors, all rights reserved. Reproduction of the design and content of this web site is strictly prohibited. The information on this web site is solely informational, and should not be substituted for legal, financial, insurance, or tax advice.