<style type="text/css"> A:link {color:#002a63;} A:visited {color:#002a63;} A:hover {text-decoration: none; color:#002a63;} .bodystyle { background : transparent ; } .text { font-family: Verdana; font-size: 11px; color:#494d52; text-decoration: none; } .textHF { font-family: Verdana; font-size: 11px; color:#494d52; text-decoration: none; } .celltext { font-family: Verdana; font-size: 11px; color:#494d52; text-decoration: none; } .celltextInventory { font-family: Verdana; font-size: 11px; color:#494d52; text-decoration: none; BORDER: transparent 0px solid; } .celltextcolor { font-family: Verdana; font-size: 11px; color:#494d52; text-decoration: none; background : transparent; } .textcolor { font-family: Verdana; font-size: 11px; color:#494d52; text-decoration: none; background : transparent; } .celltextBOLDcolor { font-family: Verdana; font-size: 11px; color:#494d52; text-decoration: none; font-weight: bold; background : transparent; } .agentPopup { font-family: Verdana; font-size: 11px; 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bottom:2px; FONT: 11px Verdana; color: #333333 } .title { font-family: Verdana; font-size: 14px; font-weight: bold; text-transform: uppercase; color: #002a63; } .celltitlecolor { font-family: Verdana; font-size: 14px; font-weight: bold; text-transform: uppercase; color: #494d52; background : transparent; } .brLogo[class] { background-image: url(images/black.png); background-repeat: no-repeat; width: 95px; height: 21px; } .brLogo { background-repeat: no-repeat; width: 95px; height: 21px; filter: progid:DXImageTransform.Microsoft.AlphaImageLoader(src='images/black.png') ; } .pType{ color:#FF0000; } </style> <table width="700" cellpadding="1" cellspacing="2" height="10"> <tr> <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()"> < Back</a> </td> </tr> <tr> <td colspan="4" height="25" class="title"> Request More Information </td> </tr> <tr> <td colspan="2" class="celltextBOLD"> Agent Info: </td> <td colspan="2" class="celltextBOLD"> Personal Information: </td> </tr> <tr> <td width="25%" class="celltextcolor"> </td> <td width="25%" class="celltext" align="left">Vincent Harrison</td> <td width="25%" class="celltextcolor"> </td> <td width="25%" class="celltext"> </td> </tr> <tr> <td width="25%" class="celltextcolor" align="right">Direct Phone:</td> <td width="25%" class="celltext" align="left">(843) 785-4460</td> <td width="25%" class="celltextcolor"> </td> <td width="25%" class="celltext"> </td> </tr> <tr> <td width="25%" class="celltextcolor" align="right">Office Phone:</td> <td width="25%" class="celltext" align="left">(843) 785-4460</td> <td class="celltextcolor"> </td> <td class="celltext"> </td> </tr> <tr> <td class="celltextcolor">&nbsp;</td> <td class="celltext">&nbsp;</td> <td class="celltextcolor"> </td> <td class="celltext"> </td> </tr> <tr> <td class="celltextcolor">&nbsp;</td> <td class="celltext">&nbsp;</td> <td class="celltextcolor"> </td> <td class="celltext"> </td> </tr> <tr> <td class="celltextcolor">&nbsp;</td> <td class="celltext">&nbsp;</td> <td class="celltextcolor"> </td> <td class="celltext"> </td> </tr> <tr> <td width="25%" class="celltextcolor" align="right">Mobile Phone:</td> <td width="25%" class="celltext" align="left">(843) 422-2029</td> <td class="celltextcolor"> </td> <td class="celltext"> </td> </tr> </table> <table width="700" cellpadding="1" cellspacing="2" height="10" class="RequestInfoMore"> <tr> <td colspan="4" class="celltext"> <table width="100%" border="0" cellspacing="0" cellpadding="3"> <tr> <td width="63%" class="text"> Please provide me with more information about your services </td> <td width="37%" class="text"> </td> </tr> </table> </td> </tr> <tr> <td colspan="4" class="celltext"> <table width="100%" border="0" cellspacing="0" cellpadding="3"> <tr> <td width="63%" class="text"> Please provide information about surrounding areas </td> <td width="37%"> </td> </tr> </table> </td> </tr> <tr> <td colspan="4" class="celltext"> <table width="100%" border="0" cellspacing="0" cellpadding="3"> <tr> <td width="63%" class="text"> I am planning to buy or sell real estate property in </td> <td width="37%"> 1 Month 2 Months 3 Months 6 Months 8 Months 12 Months Over 12 Months </td> </tr> <tr> <td width="63%" class="text"> How did you find our website? </td> <td width="37%"> Google MSN Yahoo Other Search Engines Direct Mailing Email Advertising Newspaper Other </td> </tr> </table> </td> </tr> </table> <table width="700" cellpadding="1" cellspacing="2" height="10"> <tr> <td colspan="4" class="celltext"> &nbsp; </td> </tr> <tr> <td colspan="4" class="celltextBOLD"> Special Instructions: </td> </tr> <tr> <td colspan="4" class="celltextBOLD"> </td> </tr> <tr> <td colspan="4" class="celltext"> All personal information will be kept confidential </td> </tr> <tr> <td colspan="4" class="celltext"> * By submitting this form with your telephone number you are consenting for Charter One Realty 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 /> Your computer IP address is 206.191.140.42. Charter One Realty maintains records of all requests sent from its website with tracking information from the sender. Charter One Realty does not share or exchange this information with anyone. All information will be kept confidential.<br /> <br /> --> </td> </tr> <td colspan="4" class="celltext"> <table width="60%" border="0" align="center" cellpadding="3" cellspacing="0"> <tr> <td width="50%"> </td> <td width="50%"> </td> </tr> </table> </td> </tr>--> <tr class="celltextcolor"> <td colspan="4" class="celltext"> <table width="15%" border="0" align="center" cellpadding="3" cellspacing="0"> <tr> <td width="21%"> </td> <td width="79%"> <a tabindex="13" 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.gif" border="0"></a> </td> </tr> </table> </td> </tr> <tr> <td colspan="4" class="celltext" height="100%" valign="top"> <table width="100%" border="0" align="center" cellpadding="3" cellspacing="0"> <tr> <td colspan="4" class="text" align="right" height="100%" valign="top"> &nbsp; <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();"> < Back</a>&nbsp; </td> </tr> </table> </td> </tr> <tr> <td height="100%" colspan="4" valign="top" 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>