Contact Information (* Required)
Contact Information (* Required)
First Name*
Required field
Middle Name
Last Name*
Required field
Suffix
Email*
Required field Invalid Email Address.
Type
Telephone*
Required field Invalid Mobile number.
Preferred Contact Method
Best Time to Call
By clicking Agree and Continue, I am providing my electronic signature expressly authorizing Bates Mortgage Group, LLC. to contact me by email, phone, or text (including an automatic dialing system or artificial/pre-recorded voice) at the home or mobile phone number above. I understand I am not required to sign/agree to this as a condition of purchase.
In order to proceed, you must select an option.
Address
Address
Street
Unit Type
Unit Number
City
State
ZIP
Country
Is your mailing address the same as the current address?
Is your mailing address the same as the current address?
Mailing Address
Mailing Address
Street
Unit Type
Unit Number
City
State
ZIP
Country
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