First Name Last Name Mr Mrs Ms

E-mail address

What is the best time and place to contact you

Have you ever used a locator service to find a new residence? Yes No

Home Phone Work Phone

Mobile Phone Pager

Current street address

City State Zip

If your address is in a country other than the United States, please enter your full address as it should appear
on a mailing label in the box below:


When do you need to move? (*It is very important that you indicate a move date.
If you don't know the exact date, the month and year are fine.)

Is your move part of a corporate relocation? Yes No

Will you be purchasing a home within the next 12 months? Yes No

What would you prefer (you can check more than one choice) Apartment Condo Townhome

How many people will live in your new residence?

What type of residence would you prefer (you can check more than one choice) Efficiency 1 Bedroom
2 Bedroom 3 Bedroom 4 Bedroom 5 Bedroom

Do you prefer? Ground floor Top floor Second floor No preference

Do you need washer/dryer connections? Yes No

Do you need a washer/dryer pair furnished by the property? Yes No

Desired price range
Example:  $600-700
(*It is very important that you indicate your price range)

Length of lease Short-term, less than 6 months, 6 Months, 1 Year, Other

Do you have any specific preferences other than listed above? If so, please detail them below.

If you have pets, please give a description including weight below.

If you are new to the area and don't know what area of the city you prefer, please give us the name and address
of your employer, or the name of the school, college or university you will be attending and we will
concentrate our search on properties convenient to those locations.

Area Preference: (You may list more than one area)

If you would like us to provide information on any of the following, please check.
Movers Truck rental discounts Local Banks Insurance Furniture rental

If you would like us to send you any of the following information, please check.
Area map.
Information on corporate relocation services.
Information on short-term rentals of furnished corporate apartments and condos.

If we can be of assistance in any other way, please let us know.

Thank you for completing this information request form.