Coastal NC RELOCATION Information Request Form

Coastal NC RELOCATION Information Request
Read the FAQs about this form and the
Disclosure to Buyer from Seller's Agent or Subagent---

--Then complete the form below and press the ''Send'' button at the bottom.--

I am PRIMARILY interested in:
Purchasing, Leasing, Renting, Selling, etc: Property Type:

I am ALSO interested in:

>	>	AND ALSO interested in:
Please list other interests or clarifications in comment box, do not send multiple forms
NOTE: This is NOT the form for weekly vacation cottage and condo rentals. The tourism form is here.

Approx. Time Frame of Move:
Description of Property: Price Range: Number of Bedrooms: Number of Bathrooms: Property MUST have: PREFER property has:	Condominiums/Townhouses: INCLUDE Condos & Townhouses in Search?: Additional Information: Number In Household: Are you Military?: Yes or No --- If Yes, where will you be stationed after this move?:
WHEN are you planning to visit to preview properties?:

Request Information About The Following Communities (check all you wish to include in your search)
What stage is your relocation hunt?:
*Northern Albemarle Area* Elizabeth City Hertford Edenton Moyock / Bells Island Coinjock / Point Harbor Windsor / Bertie Co. Williamston / Martin Co. *Pamlico-Albemarle Peninsula* Columbia Plymouth Hyde Co.(mainland) *Pamlico-Neuse Area* New Bern Havelock Oriental Bath Belhaven Washington	:	*Outer Banks Area* Corolla / Sanderling / Duck Southern Shores Kitty Hawk Kill Devil Hills Nags Head / Colington Manteo / Roanoke Island *Hatteras Island* Hatteras (all communities) *Ocracoke Island* Ocracoke *Crystal Coast / Onslow Area* Morehead City Beaufort Harkers Island / Down East Atlantic Beach Emerald Isle Swansboro Jacksonville
*Cape Fear Area* Topsail Beach Figure Eight Island Wilmington Wrightsville Beach Carolina-Kure Beach Southport Bald Head Island Oak Island / Long Beach / Yaupon Beach Holden Beach Calabash / Sunset Beach / Ocean Isle

How To Contact You
Name:		*Required*
Street / PO Box:		*Required*
City:		*Required*
State/Prov:		*Required*
Zip/Postal code:		*Required*
Country:		~

Special Contact Instructions:	Please advise how you PREFER TO BE CONTACTED. Give best time of day, phone preferences, etc.	OPTIONAL
Email:		ADVISORY
Work Phone:	Ext.	OPTIONAL
Home Phone:		OPTIONAL
Fax:		OPTIONAL

If you have any general questions, clarifications, or comments, please enter them below.
500 character limit

v please proofread your information, then use this button to submit it v EXPECT a 30-second pause when submitting form		v to start over v

By submitting this electronic form, you acknowledge that you have read and understand the FAQs about these forms and the Disclosure to Buyer from Seller's Agent or Subagent. You agree that ICW.NET, LLC may refer this information to agencies that serve the communities in which you have indicated an interest.		v to resubmit v v only v Leave blank unless instructed otherwise