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> Relocation Package Request Form
Relocation Package Request Form
Region
--- Select a Region ---
~Buffalo/Niagara
~Binghamton
~Capital Region and
Schoharie County
~Corning/Horseheads
Elmira
~Ithaca
~Keuka Lake/ Penn Yan
~Glens Falls and
Lake George Queensbury
~Naples, FL
~Rochester
~Syracuse/Central
Auburn/Skaneateles
~Sidney/Norwich and
Oneonta/Cooperstown
~Thousand Islands and
Watertown
Contact Information
First Name*:
Last Name*:
Street Address 1:
Street Address 2:
City:
State/Province:
--- Select a State ---
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Washington D.C.
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Zip/Postal Code:
Country:
E-mail Address*:
Daytime Phone:
Evening Phone:
Best Time to Call:
*
required information
Relocation Information
Moving From:
Moving To:
Type of Move:
Personal
Corporate
Total number of people relocating:
When will you be relocating?
Will you be
purchasing or renting?
Purchase
Rent
What do you desire in a new home?
Type of Home:
Bedrooms:
Full Baths:
Half Baths:
Priced from:
Priced to:
Additional Information
Are you currently working with a real estate agent?
Yes
No
If yes,
please provide agent and broker name: