Information Request Form 

Use this form to supply details of the property type you would like me to research for you or to request a relocation information package.

Relocation information packages are prepared to your individual specifications and include community info, market statistics for your preferred  area and price range and samples of the available homes that meet your criteria.

Please tell me what type of information you require I can provide it online or by mail.

I look forward to being of service!

(Please include you return contact information; e-mail, regular mail, or phone. I receive many requests that are very specific as to property type, etc.  but with no way for me to respond! I can't just click "Reply")

Address 2
City    State      Zip 
Home phone   Bus. phone    
Please enter your
e-mail address
Contact via e mail      phone     best time to call  
Type of property
(control+click for
multiple selection)


Price range    Location   
Please describe your preferred property.
When to do you plan to move?           
Please tell me how you located this site? 



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1320 HWY 395 N.

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Sam Whiteside, ABR, CRS

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