Please provide the following contact information:

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
Date

Who was your Loan Officer?

Amy Batchelder Adam Doyle Charlie Hall Kim Hammett Daryl Hill Jon Lucas Darin Martin Lola Pol Don Shomette John Snelson Wilbur Wright

The purpose of my transaction with Global was:

Purchase
Cash-Out Refinance
No Cash-Out Refinance
Construction
Other

Do any of your future real estate plans include selling or renting any of the following?

Primary home
Vacation/Retirement home
Property to build on
Investment property
Commercial property
Times shares
Home addition or renovation

If you selected any items in Question #3, would you like any information sent to you?

Yes
No

On your next sale, purchase or mortgage, would you work with Global Financial again?

Yes
No
Undecided

If you answered No or Undecided in Question #5, please indicate your reason for doing so:

Which title company did you work with in your transaction and how would you rate their service?

If you worked with a realtor on this transaction, please name them and rate their service:

Please rate your experience with Global Financial Services on a scale of one to five (five being highest).

1 2 3 4 5

Please list any suggestions you may have on how Global Financial Services might improve its client service.

Any additional comments: