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Homes And Investments

Request For Relocation Package


Please fill in the form below and I will be glad to provide additional information.

 

           Have you had contact with any other Century 21 Homes and Investments Realty Agent? 
                  If so When was the last date of contact?  

            Please Enter Your Full Name, Street Address, Phone Numbers

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country (If other than USA.
Home Phone
Work Phone
Email Address

                 

        What is the best time to contact you?  

                        Day      Evening     Time: 


        Are you looking to:  

                          

        Type Property:  

                       

        Buying or Selling?  ---  Price Range Desired

                         

        Property will be used for: 

                         Residence     Commercial     Residence and Commercial

       What are some of the requirements for purchasing a home?

                       

                 (Example: 3 Bedroom, 2 Baths, 2 Car Garage, Close to High School South Houston County) 

        When do you plan to move?  

                       

        Do you plan to visit this area prior to your move?
                     If so when? (Date)

        Reason for Relocation 

                       

            Century 21 Homes and Investments


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Revised: April 30, 2006