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Marketing Request Form
Please note: items in BOLD must be completed to send this form.
Customer Information 
Requester's Name:
Cell Phone:
Company Name:
Company Address:
Company Phone:
Company Fax:
Email Address:
Date of Request: 
Escrow Officer:
Marketing Representative:
Lender Name:
Lender Phone:
Property Information 
Street Address:
Price:
Please email an mls sheet to james.newsome@rgtc.com
Picture available of home?

Yes
No
We need you to email us your portrait and company logo if this is your first order with Rio Grande Title.
If emailing picture please send to james.newsome@rgtc.com with property address in subject line. Any questions please call 875-6014.
Request Information 
Type of Request:
Other:
For Just Listed/Sold Cards, etc.
Quantity:
For Mailing Lables
Geographic Target:
Property Address or Subdivision:
Buyer/Sellers Address:
Number of Mailing labels Printed? 050100150200 510
For Mortgage Leads
Lender Name for Leads:
Time Period:
Miscellaneous Information 
Upon Completion:
Other:
New Client
Existing Client
RGTC Use:
 

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