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First Name	Last Name	Phone # -  -	E-mail
Desired Move Date		Size of Move    --Select One--    Studio    1 Bedroom    2 Bedroom    3 Bedroom    4+ Bedroom

Moving from    --Select One--  Alaska(AK)  Alabama(AL)  Arkansas(AR)  Arizona(AZ)  California(CA)  Colorado(CO)  Connecticut(CT)  District of Columbia(DC)  Delaware(DE)  Florida(FL)  Georgia(GA)  Hawaii(HI)  Iowa(IA)  Idaho(ID)  Illinois(IL)  Indiana(IN)  Kansas(KS)  Kentucky(KY)  Louisiana(LA)  Massachusetts(MA)  Maryland(MD)  Maine(ME)  Michigan(MI)  Minnesota(MN)  Missouri(MO)  Mississippi(MS)  Montana(MT)  North Carolina(NC)  North Dakota(ND)  Nebraska(NE)  New Hampshire(NH)  New Jersey(NJ)  New Mexico(NM)  Nevada(NV)  New York(NY)  Ohio(OH)  Oklahoma(OK)  Oregon(OR)  Pennsylvania(PA)  Rhode Island(RI)  South Carolina(SC)  South Dakota(SD)  Tennessee(TN)  Texas(TX)  Utah(UT)  Virginia(VA)  Vermont(VT)  Washington(WA)  Wisconsin(WI)  West Virginia(WV)  Wyoming(WY)  American Samoa(AS)  Federated States of Micronesia(FM)  Guam(GU)  Marshall Islands(MH)  Northern Mariana Islands(MP)  Palau(PW)  Puerto Rico(PR)  Virgin Islands(VI)

Moving to    --Select One--  Alaska(AK)  Alabama(AL)  Arkansas(AR)  Arizona(AZ)  California(CA)  Colorado(CO)  Connecticut(CT)  District of Columbia(DC)  Delaware(DE)  Florida(FL)  Georgia(GA)  Hawaii(HI)  Iowa(IA)  Idaho(ID)  Illinois(IL)  Indiana(IN)  Kansas(KS)  Kentucky(KY)  Louisiana(LA)  Massachusetts(MA)  Maryland(MD)  Maine(ME)  Michigan(MI)  Minnesota(MN)  Missouri(MO)  Mississippi(MS)  Montana(MT)  North Carolina(NC)  North Dakota(ND)  Nebraska(NE)  New Hampshire(NH)  New Jersey(NJ)  New Mexico(NM)  Nevada(NV)  New York(NY)  Ohio(OH)  Oklahoma(OK)  Oregon(OR)  Pennsylvania(PA)  Rhode Island(RI)  South Carolina(SC)  South Dakota(SD)  Tennessee(TN)  Texas(TX)  Utah(UT)  Virginia(VA)  Vermont(VT)  Washington(WA)  Wisconsin(WI)  West Virginia(WV)  Wyoming(WY)  American Samoa(AS)  Federated States of Micronesia(FM)  Guam(GU)  Marshall Islands(MH)  Northern Mariana Islands(MP)  Palau(PW)  Puerto Rico(PR)  Virgin Islands(VI)

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