MBM Commercial

Referrals


      MBM Commercial Division Online  Referral Form    
Receiving Agent  Sending Agent
Name: L Richard Black          
Agent Name:                 
     
Office: MBM Commercial Division          
Office Name:                 
     
Address: 7165 E. University Dr. Suite 171          
Address:                 
     
Email: azadamblack@mbmus.com          
Agent Email:                 
     
Phone: 480-648-7496          
Agent Phone:                 
     
Fax: 888-881-4867          
Agent Fax:                 
     
Client Information
Client Type:          InvestorBuyerSellerBuyer & SellerOther         
Client Name:                         
Client Phone:                 
     
Client Email:                         
Client Mobile Phone:                 
     
Client Address:                         
Additional Information:                 
     
Property Information
Price Range:                         
Property Type(s):          OfficeRetailInvestmentHotelLandResidential IncomeMulti-FamilyIndustrialOther       
     
   Additional Relevant Information               
Desired or Current Location(s):               
Do they have a contractual agreement with another agent/agency?                Yes                No     
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