Relocation

Relocating TO Middle Georgia	Relocating FROM Middle Georgia
Area of Interest: Select Area 1 Area 2 Area 3 Area 4	We can assist you in relocating anywhere in the United States! Just fill out this form and in the "relocating to" section tell us where you are relocating.

1. Name: !
2. First
3. Last

1. Address:
2. Building Number:
3. Street Name
4. Apt

1. City:

1. State:
2. AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NF NS NT ON PE PQ SK YT
3. Zip Code:

1. Phone Number:
3. Extension
4. Home Work Mobile Other Type

1. Secondary Phone Number:
3. Extension
4. Home Work Mobile Other Type

1. E-Mail Address: !

1. Best Time To Contact You:
2. 6:00am 7:00am 8:00am 9:00am 10:00am 11:00am 12:00pm 1:00pm 2:00pm 3:00pm 4:00pm 5:00pm Daytime From
3. -
4. 6:00am 7:00am 8:00am 9:00am 10:00am 11:00am 12:00pm 1:00pm 2:00pm 3:00pm 4:00pm 5:00pm Until

1.  
2. 6:00pm 7:00pm 8:00pm 9:00pm 10:00pm 11:00pm Evening From
3. -
4. 6:00pm 7:00pm 8:00pm 9:00pm 10:00pm 11:00pm Until

1. Best Way To Contact You:
2. E-Mail Phone Letter Fax In-person

1. Type of Help Needed: !
2. Buying
3. Selling
4. Both

1. Relocating to:

1. Relocating from:

1. When do you plan to move?
2. Immediately 3-6 Months 6-12 Months More than 1 Year

1. Your Coldwell Banker SSK agent:
   (if applicable)

1. How may we assist you?
2. Send me a Relocation Package*
3. Have a Relocation Counselor contact me

1. Detailed information
   about your needs: !

*Relocation package includes area demographics, home magazines, map, school info, and much more!