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* Last name  
* Phone - Home  - (ex: XXX-XXXX)
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Buyer Representation Agreement: To be able to see the property with us, you confirm that

1. You are not a party to a Buyer Representation agreement with any other registered real estate brokerage for the purchase of a real property of the general description as above

2. If you decide to buy this specific property, only Trail Blazers Brokerage shall be retained to act your Agent.

Buyer Representation Agreement & Working with a Realtor
I agree ( Has the same force as if the above undertaking given in writing, in a hard copy format)
 

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