If you would like relocation information from people who
are familiar with Kingman, please fill in this form and submit it.

Your Name Required
Email Address Required
Day Phone Number Area Code Required Number Required
Optional Additional Contact Information
Evening Phone Number Area Code Number
Cell Phone Number Area Code Number
Address
City, State & Zip
Company
Title
Optional Information You Might Also Like to Tell Us
Type of Info Requesting:
Will your relocation research
also include a visit to Kingman ?
If so, when?
Is this your first visit to Kingman? Yes No
Tell us more about what you're
looking for (check all that apply)
House Condo Mobile
Income Property Horse Property
Busines Building Lot
City Country
What price range are you considering?
$150,000 - $250,000
How many square feet do you require?
1500 - 2000
Please indicate the number
of bedrooms you need

,
Number of bathrooms?
Which of the following do you need?
(check all that apply)
Living Room Great Room
Family Room Den?
Formal Dining Room Dining Area
Garage Carport
View Privacy
Do you need a mortgage? Yes No
Have you been prequalified? Yes No
Are you prepared to purchase now? Yes No
Are you prepared to
purchase within one year?
Yes No
Do you have specific plans
or are you just shopping?
Specific Plans Just Shopping
Do you have property to sell
before relocating?
Yes No
Would your purchase be cash? Yes No
How many family members
live at home?

Brief Summary and/or other comments.

NOTE: By submitting this form, you are giving your written consent, allowing real estate agents, real estate developers and manufactured homes sale organizations the right to contact you with relocation information by telephone regardless if your number is on the National Do Not Call Registry. To sign this agreement electronically, check the '"Yes, I understand" box and then submit form.
Yes, I understand real estate agents from Kingman may be calling me.


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