Fill out this confidential form to receive your Realtor referral. If you close your transaction with our preferred referred Realtor in your local area, we will send you a $1,000 Visa gift card. Name * First Name Last Name Email * Are you looking to Sell or Buy a home? Or Both? * Enter "Buy" "Sell" or "Both" Current Address * Address 1 Address 2 City State/Province Zip/Postal Code Country What is your moving timeline? * 0-3 mos 3-6 mos 6-12 mos Current Phone # * (###) ### #### Do you prefer a male or female Realtor? * Male Female It doesn't matter. What state(s) and city/area(s) should your Realtor(s) be located in? * Ex. "I'm selling in Raleigh NC and buying in St. Augustine FL." OR Ex. "I'm buying in Madison, WI." Is there any other information or details you would like for us to know before referring you to our Realtor? * Are you already a member of American Teachers Alliance or Carolina Teachers Alliance? * This incentive is only for members. Yes - I'm a School Staff member. Yes - I'm an Affiliate member (donor or Affiliate). Not yet, but I'm joining soon. Thank you! We will be in touch with you by email soon with your Realtor referral contact information.