Ben Bansal             Office: 408.926.6677 - Fax: 408.926.1489 - Cell: 408.838.8464                                                1684 Garvey Place, San Jose, CA 95132                                                 ben@benbansal.com

First Name: Last Name: Phone: – – E-mail: Message: Additional Information: Interested in: Buying Selling Refinancing Time frame: Immediate 1 month from now 3 months from now