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Yes, our firm would like to be considered for the Top List under our area(s) of specialty. We understand that there is no cost or obligation in order to participate and that inclusion is based solely upon the discretion of Perspective Real Estate Media Group and is generally based upon size of the organizations presented in alphabetical order. We have completed the information request as accurately as possible. Please consider us in Perspective New York, Perspective New Jersey or Perspective South Florida magazine in your upcoming _______________________, 2010 issue:

Name _____________________________________________________________Title _______________________________________________
Company__________________________________________________________ Email ______________________________________________
Address_ __________________________________________________________________________ Floor/Suite__________________________
City____________________________________________________________________________State_____________ Zip Code______________
Phone_________________________________________________ Fax ___________________________________________________________
Services Provided (maximum 10 words)______________________________________________________________________________________
____________________________________________________Signature__________________________________________________________
Total Employee Count________Number of Licensed Professionals (local offices only)___________________________________________________

Please fax this completed form to: (201) 585-1574, or send it to 2125 Center Avenue, Suite 406, Fort Lee, NJ 07024. Please call (201) 585-1572 for more information. Extra copies of the magazine must be pre-ordered and paid in full prior to publication date. Make checks payable to: Perspective Real Estate Media Group Inc. and please remit, along with a copy of this signed order form, to our NJ office.

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Please contact mailto:rgreenberg@PerspectiveREM or call (212) 608-9785, x-15 for further information or to discuss articles of potential interest.

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