CENTURY 21
Mike Bowman, Inc.




Marion Pollard
VP of Relocation
(800) 848-2384
Email Us

Referral Fee Chart
$75 - $150,000 (25%)
$150,000 - $300,000 (30%)
$300,000+   (35%)

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in North Texas

Referral Form
Please fill out the form below and click submit. A member of our relocation team will contact you within 24 hours.


Relocation Director
Relo Director Name:
Company:
Address:
City:
State: Zip:
Phone:
Email:
*Required
Referring Agent:
Agent Phone:
   
   
Customer Information
Customer Name:
Address:
City:
State: Zip:
Phone:
Cell:
Email:
Buyer: Seller: (check all that apply)
   
Please complete if available
Price Range:
Bedrooms:
Baths:
Garage:
Family Room: Media Room:
Formal Room:
Home Office: Number in Family:
Other Amenities
and Comments: