Complete the following form for assistance in selling or purchasing a home or land. If you desire a free comparative market analysis or relocation packets and information, please specify that information in the comment box. Regardless of the city or state our network of agents will assist you with your needs.

Reba Calhoun
Coldwell Banker
Mike Jones Company, Realtors
4801 Gaillardia Parkway
Suite 125
Okla. City, OK 73142
405-476-7343


Your name, address and a valid phone number are all that is required to receive listing, buying or relocation assistance information.  All other fields are optional.  Email address is desired and helpful.

All forms are processed directly by me.  I will do everything that I can to find you that special home and/or sell yours. Please provide me with the most complete information in the following form so that I can assist you most effectively. For assistance outside Oklahoma we will use our extensive agent network to assign you the best agent in your area.

Make sure you press the "send this form" button at the bottom when questionnaire is completed.  Thank You.


Your Name (required)

Your Mailing Address (required)

Your Phone Number (area code first)
Main Number (required):  

Optional Alternative  or Evening Number:

Your Email Address

Please share with me where you heard of my site or found my site.

Are You A Current Home Owner? Yes No   Or Are You A First Time Buyer? Yes No

If You Own A Home Is It Listed? Yes No

If yes At What Price?

How Soon Do You Need To Sell or Relocate?

How Long Have You Been Looking to Buy or Thinking of Listing Your Home?

Have You Contacted A Lender? Yes No

Lenders Name

Are You Currently Working With A Real Estate Agent? Yes No


Cities Where You Would Like To Live

Choose Your Style of Home or Preference:

Price Range: from: $ to: $ (in thousands)

Number of Bedrooms:

Number of Bathrooms:

Number of Stories:

Square Footage: Sqft


Rate The Following Features By Importance

1 = Very Important 2 = Some What Important 3 = Not important

Family Room: 1 2 3 Dining Room: 1 2 3
Master Bedroom: 1 2 3 Fireplace: 1 2 3
Privacy: 1 2 3 Home Office: 1 2 3
View: 1 2 3 Large Garage 1 2 3
Breakfast Area In Kitchen: 1 2 3 Large Lot, Acreage: 1 2 3

Additional Comments: Provide me with any information or comments that you think may help me assist you with your real estate needs. (i.e. I would like to receive a relocation packet)

I would prefer that you contact me via:
* If you selected fax please provide me with your fax number and area code


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