Name Title Organization Street address Address (cont.) City State/Province Zip/Postal code Country Work Phone Home Phone E-mail
Please contact me via:
Phone Email Mail Select the areas that you are interested in:
Rapid City Black Hawk/Piedmont Box Elder/Ellsworth AFB Sturgis Custer/Hill City Areas Other Please include the following information in my packet:
Relocation Information Community Information School Information Mortgage Company Information Banking Information Moving Company Information Date you expect to be relocating:
Relocation Information Community Information School Information Mortgage Company Information Banking Information Moving Company Information
Date you expect to be relocating:
-- mm/dd/yy The following types of real estate are of interest to me:
Residential Homes Rental Homes Lots/Land Business/Commercial Price Range:
Under $50,000 $50,000 to $75,000 $75,000 to $100,000 $100,000 to $150,000 $150,000 to $200,000 $200,000 to $300,000 $300,000 to $400,000 $400,000 to $500,000 $500,000 or more How many bedrooms:
1 Bedroom 2 Bedrooms 3 Bedrooms 4 Bedrooms 5 or more bedrooms How many baths:
1 Bath 2 Baths 3 Baths 4 Baths 5 or Baths Garage Type:
No Preference Carport 1 Car 2 Car 3 Car 4 or more Firpelace:
No Preference 1 Fireplace 2 Fireplaces 3 Fireplaces Comments:
