<!--E--><!--/megatemplate/requestcma.asp--> <table width="595" cellpadding="1" cellspacing="2"> <tr valign="top"> <td valign="top" colspan="4" class="celltext"><table width="100%" style="height:100%;" border="0" align="right" cellpadding="3" cellspacing="0"> <tr> <td width="50%" valign="top" align="center" class="textHF"><span class="textBOLD">Carlos Garcia</span><br>The Keyes Company/Realtors<br>phone: (305) 229-7001<br> <a href="mailto:garcia@soldhome.com">garcia@soldhome.com</a> </td> </tr></table></td> </tr> <tr valign="top"> <td colspan="4" class="celltext" align="right" height="25" valign="middle"> <a onclick="self.status='';return true;" onmouseover="self.status='Return to the previous page';return true;" onmouseout="self.status='';return true;" href="javascript:window.history.back()"> < < Back</a> </td> </tr> <tr valign="top"> <td valign="top" colspan="4" height="25" class="title">Request a Market Analysis </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextBOLD">Personal Information:</td> <td valign="top" colspan="2" class="celltextBOLD">Contact Information Optional: </td> </tr> <tr valign="top"> <td valign="top" width="20%" class="celltextcolor" align="right">*First Name: </td> <td valign="top" width="25%" class="celltext"> </td> <td valign="top" class="celltextcolor" align="right">Subject:</td> <td valign="top" class="celltext"> </td> </tr> <tr valign="top"> <td valign="top" width="20%" class="celltextcolor" align="right">*Last Name: </td> <td valign="top" width="25%" class="celltext"> </td> <td valign="top" rowspan="3" valign="top" class="celltextcolor" align="right">Message: </td> <td valign="top" rowspan="3" valign="top" class="celltext"> </td> </tr> <tr valign="top"> <td valign="top" width="20%" class="celltextcolor" align="right">*Email: </td> <td valign="top" class="celltext"> </td> </tr> <tr valign="top"> <td valign="top" width="20%" class="celltextcolor" align="right">*Phone: </td> <td valign="top" class="celltext"> </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">&nbsp;</td> <td valign="top" colspan="2" valign="top" class="celltextcolor" align="right"> Send me a copy of this message.</td> </tr> <tr valign="top"> <td valign="top" colspan="4" class="celltext">&nbsp; </td> </tr> <tr valign="top"> <td valign="top" colspan="4" class="celltextBOLD">Home Location: </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">Address:</td> <td valign="top" colspan="2" class="celltext"> </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">City:</td> <td valign="top" colspan="2" class="celltext"> </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">State:</td> <td valign="top" colspan="2" class="celltext"> Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Iowa Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Viriginia Washington Washington DC West Virignia Wisconsin Wyoming </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">Zip Code:</td> <td valign="top" colspan="2" class="celltext"> </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">Type of Home: </td> <td valign="top" colspan="2" class="celltext"> Single Family Home Multi-Family Town-Home Condo Land Commercial Investment Residential Patio-Home </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">Number of Bedrooms: </td> <td valign="top" colspan="2" class="celltext"> 1 2 3 4 5 + </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">Number of Bathrooms:</td> <td valign="top" colspan="2" class="celltext"> 1 2 3 4 5 + </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">SF.: </td> <td valign="top" colspan="2" class="celltext"> </td> </tr> <tr valign="top"> <td valign="top" colspan="2" class="celltextcolor">Year Built:</td> <td valign="top" colspan="2" class="celltext"> </td> </tr> <tr valign="top"> <td valign="top" colspan="1" valign="top" nowrap class="celltextcolor">Amenities: </td> <td valign="top" colspan="3" valign="top" class="celltext"> </td> </tr> <tr> <td valign="top" colspan="4" class="celltext"> * By submitting this form with your telephone number you are consenting for Carlos Garcia and all authorized representatives to contact you even if your name is on the <a href="https://www.donotcall.gov/default.aspx" target="_new">Federal Do-Not-Call List</a> <br> <br> <a href="#" onclick="window.open('custPrivacyPolicy.asp?id=0630508','Terms','scrollbars=yes,width=450,height=250')"> Privacy Policy</a> </td> </tr> <tr valign="top"> <td valign="top" colspan="4" class="celltextcolor"> <table width="15%" border="0" align="center" cellpadding="3" cellspacing="0"> <tr valign="top"> <td valign="top" width="21%"> </td> <td valign="top" width="79%"><a onclick="self.status='';return true;" onmouseover="self.status='Click to reset form';return true;" onmouseout="self.status='';return true;" href="javascript:form1.reset()"> <img src="images/reset.gif" border="0"></a></td> </tr> </table> </td> </tr> <tr valign="top"> <td valign="top" colspan="4" class="celltext" align="center"> <a href="http://www.resionline.com" target="_blank"> <img src="images/resilogo.png" width="96" height="39" border="0"></a></td> </tr> </table>
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Updated: Friday, July 20, 2018


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