Response form to Bach & Associates, Inc.

Let us know how we can help you. Please fill out and send us the form below.

Are you anticipating a move?

Yes No

When are you planning to move?

/ (Example May/1998)

Name*)

Street Address *)

City/ State/ Zip Code *)

Daytime Phone *)

Evening Phone

E-mail Address *)

Best time to be called

Fax

What would you like to talk to us about

Buying a Home Selling a Home

What features do you need in a Home?

# of Bedrooms:	# of Bathrooms:

Use this space to tell us more about your needs

*) Be sure you have entered at least
your name, address, city, state, zip, phone number, and e-mail before submitting the form.