Relocation Form from Best Choice Realty

Relocation Package Request

Fields in RED are REQUIRED fields
Name:
Company Name:
Address:
Suite / Apt:
City:
State:
Country:	(assumed US if left blank)
ZIP:
Home Phone:
Work Phone:
FAX:
E-mail Address:
Web Site:

How would you like to be reached? (choose all that apply and be sure you provided numbers or e-mail address)
E-mail Home Phone Work Phone FAX
Please double check the above information before submitting Home & Town Profile Below You can select 6 towns to get information about. If for some reason the town is not listed please use the box labeled "Other Towns" to put in your request. Please make sure each town you want is chosen before submitting this form. Thank you.
Town:
Town:
Town:
Town:
Town:
Town:
Other Towns:
Property Type:
Price Range:	$ K to $
Bedrooms:	Bathrooms:

Questions? Comments?
Any Additional Information You'd Like?

Other Information

Would You Like A “Community Profile” For These Towns?
Yes No

Would You Like A “School Report” For These Towns?
Yes No

Would You Like A “Short Term Housing” List?
Yes No

How Soon Do You Plan to Buy?
1-30 days 1-3 months 3-6 months 6-12 months

Are You Currently Working With an Agent?
Yes No

If so, Agent’s name:

How Did You Hear About Our Site?

DID YOU FILL OUT THE REQUIRED FIELDS?
See RED text notes for Name, Address, E-mail Address, & Town(s)

IMPORTANT: When you click on the "Submit Form" button, if your browser takes you to your mail-message area for sending e-mail, then your browser does not support forms. Please e-mail us the contents of your request instead.