Please take the time to either complete this form. We will email you some possible dates and times for us to establish a 45 minute to 1 hour exploratory conversation to determine if this is a good fit for you in your Marketplace. Thank you for your interest in the Real Estate Radio Network.
Help us better connect with you to serve your needs and provide us information so that we may contact you.
Company Name
Your Name
Email Address
Street Address
City/State/Zip
Office Phone
Cell Phone
Office Fax
Preferred Contact
URL/Web Address
Referred By
(A) We want to know as much about you as possible. The more we know about you and your business the better we can assist you. We will keep this information confidential. If you need more space for any of these questions please do not hesitate to use a blank piece of paper and attach it.
Real Estate Broker Real Estate Agent Mortgage Broker Mortgage Banker Mortgage Company Owner Loan Officer Home Owners Insurance Life Insurance
(B) Please elaborate on the types of services you currently perform. If you’re in real estate, Listing/Buyer Agent, REO’s, Short-Sales, if you’re in credit repair/litigation. Iif you’re a lender/retail/commercial/reverse, if you’re a legal professional other areas of the law practiced, loan modification, estate planning etc.
This will help us better understand your experience with media.
Do you have experience speaking to large groups? Yes No
Do you have any experience on TV or in Radio? Yes No
Would you like your voice to be heard on topics in today’s market? Yes No
What is the 'talk' in your local market?
Do you have a “Niche” product or Client that you target?
What type of Radio Host do you see yourself being?
Can you handle the “limelight”? Yes No
How many CORE Referral Partners do you have referring you business?
How many CORE Referral Partners do you want?
Do you have a personal Facebook page? Yes No
Do you have a business Facebook page? Yes No
Please check the other Professionals you come into contact with while performing your services:
Book Keeper Accountant Financial Advisor Estate Planner Real Estate Attorney Divorce Attorney Trust Attorney Bankruptcy Attorney Realtor
(A) Tell us more about you.What do you want radio to accomplish for your business? Please check and rate on a scale of 1-10 with 10 being the most important to you (Note: they cannot all be 10’s)
(B) We want to know more about what is platform are you thinking about. Please select:
News Talk Radio Financial Talk Radio Sports Talk Radio Radio Espanol Christian Radio Conservative Talk Radio Liberal Talk Radio Green Radio Other
Of the services we perform for you, on a scale of 1 to 10, 10 being the most important, please rate in order of importance to you?
(A) Check each present source of business and note the percentage of such business.
(B) In a perfect (yet realistic) world what would your business look like?
Who do you know in these industries who you are doing business with or would like to do business with?
Who should we contact within your company to discuss a corporate discount? (If at a later time, a corporate opportunity is created, we will prorate and credit your account any of the savings you would have received as a result of a corporate discount being applied).
Thank you. Please press "Send" below to submit your information.
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