Your Full Name*
Your Street Address*
City, State & ZIP Code*
Phone Number (Note If Daytime or
Please provide, as sometimes email
requests will bounce
and then there is no way of contacting you, except by phone.
E-Mail Address: (enter " not
used" if you don't use e-mail) *
Why are you moving?
Are you retiring or perhaps a job change?
Are you working with/or already
in contact another Realtor in this area?*
What section of Williamsburg do
you want to live?
The name of your potential employer will help identify
an area if you are not sure. The agent who will receive
this request form serves a large area and would like
feedback as to the location you may want to locate.
When will you be moving and/or
starting to look? *
Any comments or questions? Any
information such as family
size, type & size of house you like & price range would
Thank you for
providing the above information. We will be in touch
within the next few days.