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* Full Name :
Spouse's First Name :
Address :
City or APO/FPO :
State :
(Please Select Your State)
AP Armed Forces Pacific
AE Armed Forces Europe
AA Armed Forces Americas
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Vermont
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Washington
West Virginia
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Zip Code :
Day Phone :
Evening Phone :
* E- mail Address :
When Do You Plan to Move?:
Select One
1-3 months
3-6 months
6-12 months
1-2 years
Not Sure
To Which City or County in Hampton Roads Are You Moving? :
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Chesapeake
Gloucester
Hampton
Isle of Wright County
James City
Matthews
Newport News
Norfolk
Portsmouth
Poquoson
Suffolk
Virginia Beach
Williamsburg
York
For Military Families:To Which Installation Will You Be Assigned? :
Select One
Cheatham Annex
Coast Guard Finance Center
Coast Guard Training Center
Dam Neck, FTCCL
Fort Monroe
Fort Eustis
Fort Story
Langley Air Force Base
Little Creek, NAB
Non-Military
NAS Oceana
NAS Norfolk
Naval Base Norfolk
Naval Hospital Portsmouth
Naval Weapons Station Yorktown
Navy Exchange Virginia Beach
Norfolk Naval Shipyard
Northwest, NSGA
5 th Coast Guard District
SUPSHIP Newport News
OTHER
I Am Planning To :
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