Please fill out the following form to better help me understand which type of area you would like to relocate to. Just fill out as much or little as you'd like to tell Mindy-- only the items marked with a "*" are required!

Your Name	*
Address
City
State
Zip
Phone	() -
Email	*
Fax	() -
Best time to reach you
Where are you moving
When are you moving

What are you looking for in a home? Including size, type, and price range. Please include any other comments that you feel will help me serve you.
Which is your ideal area to live?	City/Urban Suburbs Rural/Farm
Describe the amenities you would like in your community... (tennis, golf, swimming, etc..)
Please include any information that will further clarify your relocation needs related to the family...(schools, medical facilities, senior care, etc.)

Mindy Oberhardt | RE/MAX United
9131 Anson Way, Raleigh, NC 27615
Toll Free (800) 526-7383 | Office (919) 518-8163 | Fax (919) 846-0825

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