<p> INTEROFFICE REFERRAL CONFIRMATIOM FORM For use when placing a referral with another CBRB agent in MA, NH, RI or ME</p><p>DATE: </p><p>FROM: Referring Associate Name: Office (City, State): Phone: Email:</p><p>TO: Receiving Associate Name: Office (City, State): Phone: Email:</p><p>CUSTOMER INFORMATION: Customer Name(s): Current Address:</p><p>City, State, Zip: Home Phone: Cell Phone: Email:</p><p>Type of Referral: Seller Buyer</p><p>For Listings: Listing Address: City, State, Zip:</p><p>For Buyers: Location Preference: Type of Home Desired: SFH Condo Townhouse Multi Land Price Range: $ Specific Needs or Instructions:</p><p>REFERRAL FEE IS 25% OF THE REFERRED FUNCTION SIDE Your signature acknowledges your acceptance of this referral.</p><p>SIGNATURE OF RECEIVING ASSOCIATE:______</p><p>Please provide regular updates to the Referring Associate. </p><p>Copies of this agreement should be provided to: Referring Associate & Manager Receiving Associate & Manager</p>