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Name:

E-Mail Address:

Mailing Address

City

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Zip

Phone

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When do you plan to relocate to Alaska?:

- Select - with in 4 months 4 months to 8 months 8 months to 1 year unknown

What area of the state are you moving to?

I am looking for a:

- Select - Single Family Home Condo or Townhouse Income Property Rental

I currently:

- Select - Rent Own

Number of bedrooms:

- Select - 1 2 3 4 5 or more

Number of bathrooms:

- Select - 1 1.5 2 2.5 3 4 or more

Minimum Price Range:

- Select - $65K $85K $105K $130K $155K $180K $210K $250K $300K $350K $400K

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