YOUR NAME or YOUR COMPANY'S NAME HERE

RELOCATION ASSISTANCE

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Moving to a new area can be something like sticking your hand through a hole in a dusty old box.  Sometimes, you just have to have faith that there isn't something in there that you aren't expecting.

I/We can show you what's in the box before you risk your hand (or, more to the point, your family).  My/Our relocation network has taken great pains to make sure that you get the information and assistance you need to make your relocation safe, secure and enjoyable.

As a matter of fact, I/we can help you relocate to anywhere in the United States you would like with information such as maps, population and economic reports, locations and contact numbers for utilities, schools and local government services.  There's even an entertainment/restaurant/hotel guide to make sure your first night in town will be a pleasant one. (Customize your list to include whatever items you wish.)

Simply fill in the information requested below and you will receive your information package in no time at all.  In addition, you will receive a call from one of my/our qualified relocation specialists, located in and familiar with your new area, to personally review your requirements and pave the way for your upcoming move.

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CONTACT INFORMATION

	First Name	Last Name	Email Address
	Your Mailing Address City State Zip ,		Home Phone Work Phone
	Best time to call:

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HOUSING REQUIREMENTS

To what area are you planning to move? City:     State:
Tell me/us a little about what you are looking for in a new home.
Bedrooms  1 2 3 4 5 5+   Baths  1 2 3 4 4+   Size  Less than 1000 sq.ft. 1000 to 1500 sq.ft. 1500 to 2000 sq.ft. 2000 to 2500 sq.ft. More than 2500 sq.ft. Features - Requirements
Price range? less than $50,000 $50,000 - $99,999 $100,000 - $119,999 $120,000 - $139,999 $140,000 - $159,999 $160,000 - $199,999 $200,000 - $249,999 $250,000 - $299,999 $300,000 - $399,999 more than $400,000	When were you thinking of moving? less than 3 months 3 - 6 months 6 - 9 months 9 - 12 months more than 1 year

For those who have property to sell,
please continue to the "Sellers" section before pressing the
"Request Information" button.

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SELLER'S INFORMATION

Please enter the address of the property you wish to sell. Address City State Zip
If the property you wish to sell does not have an address, please enter the Legal Description or Tax ID Number.
Tell me/us as much as you can about your property.
Estimated Value of your property. less than $50,000 $50,000 - $99,999 $100,000 - $119,999 $120,000 - $139,999 $140,000 - $159,999 $160,000 - $199,999 $200,000 - $249,999 $250,000 - $299,999 $300,000 - $399,999 more than $400,000	Do you need to sell before you buy? Yes    -  No	When would you like to have it sold? less than 3 months 3 - 6 months 6 - 9 months 9 - 12 months more than 1 year

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John Q. Agent XYZ Realtors & Assoc., Inc. 1234 Anystreet Ave., Suite 123 Yourtown, US 12345 (661) 274-0462
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