AZFastHomeSearch.com Intake Form | Digital Marketing Phoenix, Scottsdale, Tempe

Name*
First Last
Business Email*
This email address will be used for your RealGeeks account creation, or to link to an existing RealGeeks account.
Address*
Business Name Street Address City State / Province / Region ZIP / Postal Code
Cell Phone*
This number will be visible to site visitors.
Business Fax
(if applicable)
Focus Area(s)*
Names of cities for your PPC campaign, separated by commas. Ex: Chandler, Gilbert, Queen Creek
Agent Headshot
Accepted file types: jpg, png, tiff, bmp, gif.
Agent Bio*
This serves as an introduction to you or your team, as seen on your Agent Detail page, and not on any landing pages used for PPC campaigns. This area is used to share brief personal histories, Mission Statements, etc. To leave this field blank, type NONE.
Testimonials
Optional. These testimonials will only appear on your agent detail page, and not on any landing pages used for PPC campaigns.
Email
This field is for validation purposes and should be left unchanged.