<div class="ai-default-cf7wrap ai-contact-wrap">
Required fields are marked  *
[text* fname placeholder "First Name *"]
[text* lname placeholder "Last Name *"]
<div class="aidefcf-cl2">[email* your-email placeholder "Email Address *"] [tel* Phone placeholder "Phone Number *"]</div>
<div class="gpa-radio-button-wrap"><label>Are you currently working with a real estate agent?</label>[radio radio-27 default:1 "Yes" "No"]</div>
[textarea comments placeholder "Additional Comments"]
[submit "Continue"]
</div>
1
"Get Pre-Approved" form inquiry from your Agent Image website
[fname] [lname] <notifications@agentimage.com>
sabry@buyerben.com
From: [fname] [lname] <[your-email]>
Subject:"Get Pre-Approved" form inquiry from your Agent Image website

First Name: [fname]
Last Name: [lname]
Email Address: [your-email]
Phone Number: [Phone]
Are you currently working with a real estate agent? [radio-27]
Additional Comments: [comments]
--
This e-mail was sent from a contact form on (https://buyerben.com/)
Reply-To: [your-email]












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