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RE/MAX Honor Card Form

For donations of $25 or more, a RE/MAX Honor Card will be sent to the buyer or seller listed below.

Fill out the form below and click the "Send" button when finished.

Required fields indicated by *.

* Date Escrow Closed
* RE/MAX Agent
RE/MAX Office Code
Office
If other, please specify:
Agent Represented

Completing the following information completely will help assure that Honor Cards are processed quickly.

Seller Information
Name/Organization
Contact Title
Contact Name
Forwarding Address
City, State, Zip
Donation
Special Notes
Buyer Information
Name/Organization
Contact Title
Contact Name
Address
City, State, Zip
Donation
Special Notes
Property Information
Address
City, State, Zip

Any personal information that you provide to Duke University Health System, such as your name, address or phone number will be kept strictly confidential and will not be disclosed or sold to any outside organization.