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Name:
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	Some Details...
When are you moving?:	within 3 months within 3 months to 6 months within 6 months to 1 year not sure - just curious
Where are you moving to?:
Your price range?:	Select 50,000 75,000 100,000 125,000 150,000 175,000 200,000 225,000 250,000 275,000 300,000 350,000 400,000 450,000 500,000 550,000 600,000 700,000 800,000 900,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 to Select 50,000 75,000 100,000 125,000 150,000 175,000 200,000 225,000 250,000 275,000 300,000 350,000 400,000 450,000 500,000 550,000 600,000 700,000 800,000 900,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000
Number of bedrooms?:	1 2 3 4 5 6 7 more than 7
Number of bathrooms?:	1 2 3 4 5 6 7 more than 7
Additional comments:

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