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Name:
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Street:
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City:
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State:
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Zip Code:
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Overseas Address:
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Work Phone:
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Home Phone:
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Fax:
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How many bedrooms do you need?
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How do you prefer to be contacted?
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How many bathrooms do you need?
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Are you looking to rent or buy?
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Do you need a garage?
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What price range are you looking for?
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Yes
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No
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When do you expect to be moving?
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Where do you prefer to live?
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Would you like a free map of the are?
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Would you like info on schools in the area?
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Yes
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No
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Yes
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No
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Please provide any other information you need me to know about, in order to supply you with the best possible relocation package. Also, use this space to ask any questions you may have.
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