REQUEST FOR RELOCATION ASSISTANCE FORM * Required Field Click here to view our privacy policy.   Name:* Street Address:* Suite/Apt.: City:*   E-mail:* Phone: State:* --- AA AE AP AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NC ND NY OH OK OR PA RI SC SD TN OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code*:   Country:* --Please Select-- U.K. U.S.A. Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Barbuda Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Botswana Brazil British Virgin isl. Brunei Bulgaria Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Channel Islands Chile China Colombia Congo Cook Islands Costa Rica Croatia Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Irak Iran Ireland Ireland, Northern Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kuwait Kyrgyzstan Latvia Lebanon Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar/Burma Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Rwanda Saba Saipan Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tanzania Thailand Togo Trinidad-Tobago Tunisia Turkey Turkmenistan United Arab Emirates U.S. Virgin Islands U.S.A. Uganda United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wales Yemen Zaire Zambia Zimbabwe Click here to view our privacy policy. If you’re currently at a military address, complete the form using the following information: •City field: Enter "APO" or "FPO." •State field: Enter "AE" in the if the recipient is stationed in Europe, Canada, Africa, or the Middle East. Enter "AA" if the recipient is stationed in the Americas. Enter "AP" if the recipient is stationed in Asia or the Pacific. •Country field: Always select "United States" from the drop-down menu regardless of where the recipient is stationed.   How did you find us?*  --Please Select-- Everything Real Estate Magazine Friend Google Search Homeplace newspaper Homes Magazine Marine Times Navy Times NC Coastal Relo Guide Okinawa Marine Quantico Sentry Real Estate Sign Yahoo Search Bookmark Link from Web Site Other   Estimated date of move Price Range:* From --Please Select-- $0 $10,000 $20,000 $30,000 $40,000 $45,000 $50,000 $55,000 $60,000 $65,000 $70,000 $75,000 $100,000 $125,000 $150,000 $175,000 $200,000 $225,000 $250,000 $275,000 $300,000 $325,000 $350,000 $375,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $950,000 $1,000,000 $1,250,000 $1,500,000 $2,000,000 $2,500,000 $3,000,000 $3,500,000 $4,000,000 $4,500,000 $5,000,000 $5,500,000 $6,000,000 $6,500,000 $7,000,000 $7,500,000 $8,000,000 $8,500,000 $9,000,000 $10,000,000   Up To --Please Select-- No Maximum Price $10,000 $20,000 $30,000 $40,000 $45,000 $50,000 $55,000 $60,000 $65,000 $70,000 $75,000 $100,000 $125,000 $150,000 $175,000 $200,000 $225,000 $250,000 $275,000 $300,000 $325,000 $350,000 $375,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $950,000 $1,000,000 $1,250,000 $1,500,000 $2,000,000 $2,500,000 $3,000,000 $3,500,000 $4,000,000 $4,500,000 $5,000,000 $5,500,000 $6,000,000 $6,500,000 $7,000,000 $7,500,000 $8,000,000 $8,500,000 $9,000,000 $10,000,000 Comments:

Privacy Policy.
We take your personal privacy seriously. We don't sell private information nor do we divulge the information gathered via this Web site to any third parties (individuals outside Jacksonville Realty Group, Inc.) who you don't otherwise expressly authorize.

When you request a relocation package via our online form you will be required to supply the minimum information needed to mail your material via the US Post Office-- your name and your mailing address. And we ask for your e-mail address so that we may follow up to ensure that your package was received and to see if you have further questions. Those are the only "required fields" in the online form.

You will, however, get faster and better service if you complete the remaining fields because that will give us a more complete picture of your needs.

If you subsequently contact one of our real estate agents for help in buying or selling property then you may be asked for more details so that we can provide the service that you're seeking.