Name:
Address:
City:
State/Province:
Zip:
Property Address:
Phone:
Work Phone:
Email:
When do you plan to sell your property?:
	choose time frame within 4 months 4 to 8 months 8 months to a year unknown
Is your property currently listed?:
	choose Yes No
Additional Information/Comments:

110 West 38th Ave, Suite 100 • Anchorage AK 99503
Cell: (907) 244-6640 • Email: mike@akrelo.com