Patricia L. Cox, CRS, GRI
Office Phone 614-895-1689
Toll Free# 800 886-2100
Fax 614 895-1709
email: Patricia@plcox.com .... www.plcox.com		  

Century 21 Joe Walker
& Associates RealtorsŪ

 Relocation Request Form

Your Name:
Your Email Address:
Your Street Address:
Your City:
State: Zip:
Phone:
Fax:
When Do You Want To Move?
How Long Have You Been Looking?
Are You Currently Working With An Agent?Yes No
Where Would You Like To Live?
North, South, East, West, a suburb?
What Is Your Price Range?
Number Of Bedrooms? Number Of Bathrooms?
How Many Square Feet?
Describe Your Perfect Home For Me:

How Do You Want Me To Contact You?
Additional Comments:

Equal Housing Opportunity ..
REALTORŪ -- A registered collective trademark that identifies a real estate professional who is a member of the National Association of REALTORSŪ and subscribes to its strict Code of Ethics. Each local board of REALTORSŪ is responsible for enforcing the Code of Ethics. Inquiries regarding the Code of Ethics should be directed to the board in which a REALTORŪ holds membership.
All information presented is subject to errors, omissions and revisions and is not warranted.
"This is not intended to solicit property currently listed with another REALTOR."
Each office is independently owned and operated.

 

 

 

 

 

 

 

 

 

last updated on 01/16/2005