Relocation Form

First Name:

Last Name:

Email: *

Street Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell or Other Phone:

Are you Buying or Selling? *

Buying

Selling

Both

Other

When would you
like to move? *

Best time to
contact you:

Morning

Afternoon

Evening

Other

Best way to
Contact you:

Any questions
or comments:

ALL INFORMATION WILL BE KEPT CONFIDENTIAL.

530.413.8383 Main
888.800.9772 Toll Free

Tammy Vertrees
Realtor®, WCR
License # 01754100
"Your Relocation Expert"

* = Input is required