• agent
    Daryl Hanna
    License ID: S.0057331
  • +1(702) 218-4585 darylhanna@gmail.com

 

 

All About You

This form is to help us better serve you during and after the transaction. Thank you for your cooperation in filling out this form.

Name*

Email Address*

Date of Birth

Partner's Name

Partner's Date of Birth

Partner's Email Address

Anniversary

Where did you first meet?

Names of Children & Date of Birth

Available to talk at work? Y/N

If Yes, Your Number

Work Email

Address

Work Hours

My Favorite Restaurant

Favorite Hobbies

Dream Vacation

My pet is a ____ and their name is

My Favorite Movie

Do you have a financial planner? Y/N

Do you have will completed? Y/N

Do you have an insurance professional? Y/N

Do you have a CPA? Y/N

Name the most successful small business you use

What made you name them?

I agree by electronic signature to the Electronic Disclosure Consent; to receive recurring marketing communication from or on behalf of Daryl Hanna, including auto-dialed calls, texts, and artificial/prerecorded voice messages (consent not required to make a purchase; data rates may apply; reply “STOP” to opt-out of texts or ‘HELP” for help); and to the Terms of Service and Privacy Policy of this website. I understand that I can call to obtain direct assistance.
Thanks! I'll get back to you shortly.

We communicate often with our clients to reduce stress during this process. Thank you for taking the time to fill this form out and allowing us to get to know you a little better.

 

Best,

Daryl Hanna