Print this order form, then fill it in and mail or fax it to RealEstateProfiles.com
Fax:  630-469-3779
 Date _______________________ Real Estate Licence #: _________________________

    Name ___________________________________________________________

   Title ___________________________________________________________

 Company ___________________________________________________________ (Office Name)

 Address ___________________________________________________________

         ___________________________________________________________

    City ___________________________ State ________ Zip ___________

Phones   Office ____________________ Ext. _______ Cell _______________________

         FAX _______________________              Other ______________________

  E-mail ___________________________________________________

Web Site ___________________________________________________ (Enter your domain name)


CHOOSE ONE (Circle choice)              CHOOSE ONE (Circle choice) Applies only to page style 1

 ClientREACH Page Style   1   2   3     Color Option   1  2  3  4  5

Note: See the web site www.ClientReach.com for style and color options

PRICE:$249.00 Introductory rate. 52 weeks of ClientREACH buyer and seller content. Two new columns per week.

Payment Information

__ By Check (Please enclose check with printed order form and mail to address below)

__ By Credit Card (Fax or mail completed order form)

         __ AMEX __ Visa __ MasterCard __ Discover

         Number: ____________________________________  Exp. Date: ________________

         Name on credit card: ___________________________________________

         SIGNATURE: ______________________________________________________


Terms and Conditions

ClientREACH™ is consumer-directed content written by a leading real estate expert. Paid subscribers link their site to the content so that the content appears to be part of the subscriber's site - one set of links per subscriber only. Content is refreshed once per week. The one-year term of this agreement does not start until a link to your web site is established. Fax (credit card only) or mail the completed form with payment to RealEstateProfiles.com.
RealEstateProfiles.com
452 Taylor Ave.
Glen Ellyn, IL 60137
   Phone: 630-248-7007
Fax: 630-469-3779
Email: info@ClientReach.com
Web site: www.clientreach.com