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Military Base Reporting to:
Report Date:
Do you need a Sponsor? Yes No
Bedrooms Needed:
Bathrooms Needed:
I need to Buy or Rent? Buy Rent
I want info on Base Housing Yes No
Price Range:
Name:
Address:
City:
State:
ZIP:
Phone:
Email:
Current Base/Post:
Do you need to Sell/Rent You home? Sell Rent
Need info for locale property manager Yes No
I want more Info on a VA Loan? Yes No
Note or special needs: