Valerie Benarous Outmezguine
Cell +1 (786) 213-2174
Marc Benarous
Cell +1 (786) 213-2147

Confiez nous votre bien

<form name="form1" method="post" onSubmit="MM_validateForm('FirstName','','R','LastName','','R','Email','','RisEmail','Phone','','R');return document.MM_returnValue" action="requestcma.asp?id=3402969fr"><input type="hidden" id="resiSecurityCode" name="resiSecurityCode" value="ML413FU94RQ5" /><table width="725" cellpadding="1" cellspacing="2"><tr valign="top"><td colspan="4" class="celltext" align="right" height="25" valign="middle"><a onclick="self.status='';return true;" onmouseover="self.status='Return to the previous page';return true;" onmouseout="self.status='';return true;" href="javascript:window.history.back()">< < Retour</a></td></tr><tr valign="top"><td valign="top" colspan="4" height="25" class="title">Demander une analyse de marché</td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextBOLD">Renseignements personnels:</td><td valign="top" colspan="2" class="celltextBOLD">Coordonn&#233;es (Optionnel):</td></tr><tr valign="top"><td valign="top" width="20%" class="celltextcolor" align="right">*Nom:</div></td><td valign="top" width="25%" class="celltext"><input name="FirstName" type="text" class="srhBox" size="20"></td><td valign="top" class="celltextcolor" align="right">Sujet:</td><td valign="top" class="celltext"><input name="EmailSubject" class="srhBox" size="20"></td></tr><tr valign="top"><td valign="top" width="20%" class="celltextcolor" align="right">*Nom de famille:</td><td valign="top" width="25%" class="celltext"><input name="LastName" type="text" class="srhBox" size="20"></td><td valign="top" rowspan="3" valign="top" class="celltextcolor" align="right">Un Message:</td><td valign="top" rowspan="3" valign="top" class="celltext"><textarea name="EmailMessage" cols="23" rows="5" wrap="physical" class="srhBox" id="EmailMessage"></textarea></td></tr><tr valign="top"><td valign="top" width="20%" class="celltextcolor" align="right">*Email:</td><td valign="top" class="celltext"><input name="Email" type="text" class="srhBox" size="20"></td></tr><tr valign="top"><td valign="top" width="20%" class="celltextcolor" align="right">*T&#233;l&#233;phone:</td><td valign="top" class="celltext"><input name="Phone" class="srhBox" size="20" maxlength="15"></td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor"> </td><td valign="top" colspan="2" valign="top" class="celltextcolor" align="right"><input type="checkbox" name="SendCopy" value="ON">Envoyez-moi une copie de ce message.</td></tr><tr valign="top"><td valign="top" colspan="4" class="celltext"></td></tr><tr valign="top"><td valign="top" colspan="4" class="celltextBOLD">Emplacement du bien: </td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor">Adresse:</td><td valign="top" colspan="2" class="celltext"><input name="Address" class="srhBox" size="30"></td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor">Ville:</td><td valign="top" colspan="2" class="celltext"><input name="City" class="srhBox" size="30"></td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor">Etat:</td><td valign="top" colspan="2" class="celltext"><select name="State" id="state"><option></option><option value="AK">Alaska</option><option value="Az">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Iowa</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Viriginia</option><option value="WA">Washington</option><option value="DC">Washington DC</option><option value="WV">West Virignia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select></td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor">Code postal:</td><td valign="top" colspan="2" class="celltext"><input name="ZipCode" class="srhBox" size="10" maxlength="10"></td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor">Type de maison: </td><td valign="top" colspan="2" class="celltext"><select name="TypeOfHome"><option value="Single-family" selected>Maison</option><option value="Multifamily"></option><option value="Town-Home">Maison de ville</option><option value="Condo">Condominium</option><option value="Land">Terre</option><option value="Commercial">Commercial</option><option value="Investment">Investissement</option><option value="Residencial">Résidentiel</option><option value="Patio-Home">Maisons de Conjointes</option></select></td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor">Nombre de chambres à coucher: </td><td valign="top" colspan="2" class="celltext"><select name="Beds"><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5 +">5 +</option></select></td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor">Nombre de salles de bains:</td><td valign="top" colspan="2" class="celltext"><select name="Baths"><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5 +">5 + </option></select></td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor">Pied carrés: </td><td valign="top" colspan="2" class="celltext"><input name="SquareFootage" class="srhBox" size="10" maxlength="10"></td></tr><tr valign="top"><td valign="top" colspan="2" class="celltextcolor">Ann&#233;e de construction:</td><td valign="top" colspan="2" class="celltext"><input name="YearBuilt" class="srhBox" size="10" maxlength="10"></td></tr><tr valign="top"><td valign="top" colspan="1" valign="top" nowrap class="celltextcolor">Agr&#233;ments:</td><td valign="top" colspan="3" valign="top" class="celltext"><textarea name="Amenities" cols="60" rows="5" wrap="physical" class="srhBox"></textarea></td></tr><tr><td valign="top" colspan="4" class="celltext">* By submitting this form with your telephone number you are consenting for Valerie Outmezguine Benarous and all authorized representatives to contact you even if your name is on the <a href="https://www.donotcall.gov/default.aspx" target="_new">Federal Do-Not-Call List</a><br><br><a href="#" onclick="window.open('custPrivacyPolicy.asp?id=3402969fr','Terms','scrollbars=yes,width=450,height=250')">Conditions de vie Privée</a></td></tr><tr valign="top"><td valign="top" colspan="4" class="celltextcolor"><table width="15%" border="0" align="center" cellpadding="3" cellspacing="0"><tr valign="top"><td valign="top" width="21%"><input onclick="self.status='';return true;" onmouseover="self.status='Click to begin search';return true;" onmouseout="self.status='';return true;" type="image" src="images/submit_fre.gif" name="Submit"></td><td valign="top" width="79%"><a onclick="self.status='';return true;" onmouseover="self.status='Click to reset form';return true;" onmouseout="self.status='';return true;" href="javascript:form1.reset()"><img src="images/reset_fre.gif" border="0"></a></td></tr></table></td></tr><tr valign="top"><td valign="top" colspan="4" class="celltext" align="center"><a href="http://www.resionline.com" target="_blank"><img src="images/resilogo.png" width="96" height="39" border="0"></a></td></tr></table></form>
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