Deffenbaugh Buyer Registration Form

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Buyer Registration Form This registration entitles the referring Realtor to a 2.5% commission on any new construction or remodeling contract entered into by the buyer with Deffenbaugh Homes. Please email to jesse@deffenbaughhomes.com upon completion. Thank you for your referral and we look forward to a successful relationship.

Buyer Registration: _______________________________________________________________________ (Buyer Name)_____________________________________________________________________________ (Address)__________________________________________________________________________________ (City)____________________________________ (State)____________________ (Zip)_________________ (Buyer Cell Phone)________________________ (Buyer Email)___________________________________ (Real Estate Firm)________________________________(Broker)__________________________________ (Office Phone)_____________________________ (Broker Email)_________________________________ (Realtor)__________________________ (Mobile Phone)_________________________________________ (Realtor Email)____________________________________ Where is the property or lot (s) your client is considering?

What size home is your client considering?

Do you feel that their primary concern is the quality of the home, the price, or the schedule of the build?

Is there anything else you would like us to know?

Deffenbaugh Construction Inc. 4301 W. 57th Street, Suite 110B Sioux Falls, SD 57108

Phone: (605) 359-2490 Email: info@deffenbaughhomes.com www.deffenbaughhomes.com


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