First Name:   Last Name:  
Street Address:   City:   State:  
Zip Code:    Email Address (required):    
Area Code:    Phone Number:       *Valid phone number will result in best information being provided.

You are:
Definitely moving to Columbia area
Probably moving to Columbia area
Considering retirement to Columbia area
Probably not moving to Columbia area

Approximate moving date:
Within 6 months
6-12 months
1-2 years
2-5 years

Reason for your move to Greater Columbia: (check all that apply)
Retirement
New job
Company transfer
Military transfer
New environment

Your employer(s) in Greater Columbia will be:
You:
Your Spouse:

In addition to the relocation guide, I would like more information on: (check all that apply)
Buying a pre-owned home
Buying a new home
Building a new home
Renting an apartment
Renting a home

If buying a home, what price range are you interested in? (check all that apply)
$85,000-$125,000
$125,000-$150,000
$150,000-$200,000
$200,000-$250,000
$250,000-$300,000
$300,000-$400,000
$400,000-$500,000
$500,000-$750,000
$750,000-$1 million
$1 million and up

Bedrooms/Bathrooms:
Minimum number of bedrooms preferred:
Minimum number of bathrooms preferred:

Are you familiar with the Columbia area?
Vacationed Here
Lived Here
Have Family/Friends Here

Area of Greater Columbia you are considering for a home:

If renting an apartment, what price range are you interested in? (check all that apply)
$600-$700
$700-$800
$800-$900
$900-$1,000
$1,000+

In what part of town?

I would like more information on: (check all that apply)
Financial Services:
Bank Services Mortgage Loans Real Estate Closing Attorney

Real Estate Law:
Real Estate Closing Attorney New Construction Law

Wealth Management Services:
Retirement Planning Business Planning Asset Management  Estate Planning

Insurance:
Auto Commercial  Home  Life

Healthcare:
Primary Care  Hospitals Chiropractic Children's Health Women's Health Dental Dermatology
Family Medicine Eye Care Allergy & Asthma

Education:
Preschool Elementary Middle School High School Advanced Placement College Preparatory
Higher Education Graduate Programs Learning Disabilities Attention Deficit Disorder  Special Needs

Recreation:
Golf Water Sports Tennis Shopping Museums Parks/Beaches Fitness
Children's Sports Programs Educational Experiences  Gardening

Employment:
Temporary Placement Permanent Placement
Field:

Places of Worship:
Information Requested

Accommodations:
Hotels/Motels

Retirement:
Advantage Senior Memberships Retirement Communities

Home Details:
Home Interiors Interior Design Security Systems Home Theater

Entertainment and Communications:
High Speed Internet Television Wireless Service Home Telephone

Age range:
20-35
35-45
45-55
55-65
65-75
75+

Please type any additional information you need below:


I would like to have someone call me within the next 48 hours to discuss the information I've requested.

Best time to call:
Telephone number to call:

If you have questions or problems with this form, call Gardener Guides at 1.800.506.2890.