Mandatory fields marked *

Client Information







Do Not Call Registry / Referral Awareness

VERY IMPORTANT: Although you should always notify a client of a pending referral, if your client is a member of a do-not-call registry and you have selected "Phone" contact above, you are taking responsibility for the initial phone call made from this organization to your client. If you are not sure of your clients do-not-call status, please select "Email" contact above.



Relocation Information



Financial Information (Buyers)




Client Real Estate Interest: (Buyers)




Client Property Looking to Sell: (Sellers)




Residential Property Needed to Buy or Sell:

Note: if your client is a Buyer, select the criteria they require. If the client is a seller, select the features of the home they wish to sell. In the case that your client is a Buyer & Seller, select the criteria they require for Buying only.









Referrer Information









Additional Comments

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CENTURY 21 Bamber Realty Ltd.

Gizella Davis
1612 - 17 AVENUE S.W.
Calgary, AB, T2T 0E3
Phone: 403-680-9093
Email: gizella@gizelladavis.com


Jemma Stephenson
1612 - 17 AVENUE S.W.
Calgary, AB, T2T 0E3
Phone: 403-390-9093
Email: jemma@gizelladavis.com