www.pruheartland.com Wednesday, August 20th, 2008 | 913-681-8215
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mortgage calculator
KC  Metro
Our Listings
City
Zip

to
Minimum
and
MLS#
School Name
School District
Subdivision

 

 
Moving out of Kansas City
To enable us to assist you, please complete the following form and submit it to us so that we may be better informed as to your needs and interests.

You may also feel free to call our Relocation Department at 1-800-581-8215, locally at 913-681-8215 or e-mail us at twatsonphp@aol.com
Date


First name *


Last name *


Street address 1 *


Street address 2


City *


State *


Zip code *


E-mail address


Daytime phone number (with area code) *


Evening phone number (with area code)


Employer


New Hire or Transfer?
New Hire  Transfer

Children


Price Range


Destination City, State


Bedrooms


Bathrooms


Currently Own or Rent?
Own  Rent

If Own, is Home Listed?


If yes, List Price


When will you arrive in Kansas City?


Does your employer provide Relocation Benefits?


If yes, which Relocation Company?


Can we refer you to a Broker in your Area?
Yes  No


Other Needs or Wants
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