INFORMAITON REQUEST FORM

You will need to fill all the blanks with a * next to them to submit the form! 

* First Name: 
* Last Name: 
E-Mail: 
* Street: 
* City * State  * Zip Country   
* Home Phone Number:  -   
Work Phone Number:  -  
Fax Number:  -   
 
What price range are you looking for? 
What is your time frame? 
i.e. 3 months, 6 months, 1 year, etc. 

Approximate Square Feet:  

Fireplace: 
Yes  No Does not matter 

Garage: 
Yes  No Does not matter 

Lot: 
Cleared  Wooded 

Minimum bedrooms:  

Minimum baths:  

Do you have a home to sell?  Yes No 

Anything you might want to add: 

Thank You For Your Information 
       

 

Williamsburg, VA

Cell (757) 784-1643
Home / Office: (757) 221-8149
Fax Number: (757) 259-1755
Office: (757) 253-7600

E-mail:ttinaallen@cox.net

Copyright 1999, Oller Studios/@ontheline