Relocation Needs Assessment

Person Relocating Contact Details

First, please tell us the full name and contact information of the individual relocating.

Person Relocating Full Name

Person Relocating Phone

Person Relocating Email

Primary Contact Details

Who's the best person to contact to put your relocation plan in place?

Primary Contact Full Name

Primary Contact Phone

Primary Contact Email

What position best describes the person relocating?

PlayerCoaching StaffEmployee/Front OfficeOther

Who are we billing?

Individual’s employer/organizationIndividual relocating

Team/Employer/Organization Name

Relocation Allowance

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Relocation Services

Sell a Home

Timeframe to Sell

1-3 Months4-6 Months6+ Months

Home Address

Street Address

City

Country

State

Provinces

State/Province

Postal Code

Pack & Move Household Goods

What is your target move-out date?

What is your target move-in date?

Pick-Up Address

Street Address

City

Country

State

Provinces

State/Province

Postal Code

Delivery Address

Street Address

City

Country

State

Provinces

State/Province

Postal Code

Transport a Vehicle

What is your target Vehicle Transport pick-up date?

What is your target Vehicle Transport drop-off date?

Are the vehicle(s) pick-up & delivery addresses the same as Household Goods?

Yes. Use the pick-up & delivery address used for Household Goods

Vehicle Pick-Up & Delivery Addresses

Pick-Up Address

Street Address

City

Country

State

Provinces

State/Province

Postal Code

Delivery Address

Street Address

City

Country

State

Provinces

State/Province

Postal Code

How many vehicles to you need to transport?

1 Vehicle2 Vehicles3 Vehicles4 Vehicles

Vehicle 1 Details

Vehicle 1 Make

Vehicle 1 Model

Vehicle 1 Year

Vehicle 1 Type

Vehicle 1 Transport Type

Vehicle 2 Details

Vehicle 2 Make

Vehicle 2 Model

Vehicle 2 Year

Vehicle 2 Type

Vehicle 2 Transport Type

Vehicle 3 Details

Vehicle 3 Make

Vehicle 3 Model

Vehicle 3 Year

Vehicle 3 Type

Vehicle 3 Transport Type

Vehicle 4 Details

Vehicle 4 Make

Vehicle 4 Model

Vehicle 4 Year

Vehicle 4 Type

Vehicle 4 Transport Type

Buy a Home

Budget or Purchase Price Range (Price you’d like to pay)

What is your timeframe to buy?

1-3 Months4-6 Months6+ Months

City

Country

State

Provinces

State/Province

Rent a Home or Apartment

What is your rental budget?

Planned move-out date

Planned move-in date

Rental City

Rental Country

Rental State

Rental Provinces

Rental State/Province

Number of Bedrooms?

Number of Bathrooms?

Do you need home to be furnished?

Do you have pets?

Corporate/Temporary Housing Rental(Fully Furnished)

What is your rental budget?

Planned move-out date

Planned move-in date

Rental City

Rental Country

Rental State

Rental Provinces

Rental State/Province

Number of Bedrooms?

Number of Bathrooms?

Do you need home to be furnished?

Do you have pets?

Furniture Rental

What Furnishings do you need?

Date furniture would need to be delivered and set up?

Furniture lease start date

Furniture lease end date

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Please tell us anything else that’s important to you, or good for us to know, ahead of your relocation.

Email us at : info@dingmangroup.com

The Dingman Group

+1 888.478.0357+1 888.478.0357

To initiate one of our offered relocation services, please complete the Relocation Needs Assessment (RNA) below. This is a quick and easy process that can be done on your phone, tablet or computer.

Once completed, a dedicated Dingman Group relocation counselor (RC) will call you within 48 business-day hours to put your relocation plan in place.

Please complete all required fields

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Home Address

Pick-Up Address

Delivery Address

Pick-Up Address

Delivery Address

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