General Request Form
 
Please fill-out the following General Request Form. Be sure to check the item(s) you wish done for you. Your response is appreciated and will greatly help in your upcoming real estate transaction.
 
Name *
Email *
Address
City
State
Zip
Phone
Fax
Would you like to be contacted by phone
Requests, Questions, Comments
 

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Prudential California Realty
11409 Carson Street • Lakewood, CA 90715
Mobile: 714-418-3427 • paul@ContiRealEstate.com
Fax: 562-809-0841 * DRE License #01007130
"Passionate Believer in the American Dream of Homeownership"
Office: 562-809-1331 Ext. 210
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