MARKET SURVEY 
REQUEST FORM 

To request information from The GEM Real Estate Group, Inc., please fill out the following form or contact Lisa Chaney at chaney@gemcompanies.com or fax your request to 937-228-4079.

Please note that The GEM Real Estate Group, Inc. reserves the right to charge a fee for the information provided.  Fee will be quoted upon request.

Prior years' surveys may be available upon request.

1. Please provide the following contact information:

Name
Title
Organization
Work Phone
Fax
Email
URL

2. Please provide the following ordering information:

Shipping Information
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

3.  Market Survey Request

Market Survey Name 

Dayton

 Cincinnati
Retail Market Survey
Industrial/Warehouse Market Survey
Office Market Survey
Apartment Market Survey

Please complete this form and click [submit] below -or- print this form and fax it to Lisa Chaney at (937) 228-4079

For more information, please call (937) 228-2882 or email info@gemcompanies.com.

The information conveyed is privileged and is intended only for the use of the individual(s) or entity(ies) named above.  Be advised that any unauthorized disclosure, copying, distribution or taking of any action in reliance on the contents of this information and materials is strictly prohibited.

The individual(s) or entity(ies) named above agree to hold The GEM Real Estate Group, Inc. harmless from any /all liability which may result from the unauthorized use of the information described above.

The GEM Real Estate Group, Inc. reserves the right to reject any or all requests for information in its sole discretion.