Conventional Realty, Inc. SATISFACTION GUARANTEE CLAIM FORM Mail to: Satisfaction Guarantee Program Conventional Realty, Inc. 600 W. Broadway, Suite 100 Glendale, CA 91204 Name _____________________________ Address____________________________ City, State, ZIP Code__________________ Phone Number_______________________ Email Address _______________________ Property Address (if different from above) _____________________ City, State, ZIP Code _______________________ Closing Date_________________________ How did you first hear about Conventional Realty?_______________________________________________________ ____________________________________________________________________________________________________ Who was your Agent(s)? _______________________________________________________________________ ____________________________________________________________________________________________________ What were your expectations when you decided to buy or sell a house through Conventional Realty? ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Please explain why Conventional Realty's service did not meet your expectations. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Did you have any contact with our customer service personnel? ____________________________________________________________________________________________________ Yes ____ No ____ If Yes what was your experience like? ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Please describe your experience working with your Agent. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Did you notify your agent of any dissatisfaction during the process of your purchase or sale? Yes _____ No _____ N/A _____ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Would you use Conventional Realty as your real estate broker in the future? Yes _____ No _____ Please explain why or why not. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________