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CUSTOMER INFORMATION

Name(s):
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Number of Adults in Home:
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CUSTOMER PREFERENCES

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3631 Maplewood Ave., Suite 1, Wichita Falls, Tx 76308
940-692-8120 & Fax 940-691-1213
Toll Free 1-800-288-9828
E-mail via dsteed@hirschirealtors.com
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