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The Membrane Domain

Request For Elaine's

Request For Elaine's Help


your first .............................. and last names

e-mail address

street address

city, ...................................... state, ................................ and zip code

Phone number


  • Click this button if you are thinking about buying real estate.
  • Click this button if you are thinking about selling real estate.
  • Click this button if you are thinking about buying and selling real estate.
    Desired location of real estate to be purchased

    Location of real estate to be sold (if any)


    Approximate value of real estate to be bought and/or sold:

    Less than $100,000
    $100,000-$200,000
    Over $200,000


    Is this a corporate relocation?
    Yes
    No

    If this is a corporate relocation, does your company assist with closing costs?
    Yes
    No

    If this is a corporate relocation, what other assistance is being offered? (For instance, will they be helping to sell your home?)



    Please give a brief description of your real estate intentions and needs.

    Please click the submit button.

    Thank you.


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