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Name:
Address:
City, State, Zip:
Home Phone:
Work Phone:
Best Time for Contact:
E-mail address:
Own Home or Rent:
Do you have plans:
(if not we can design build)
Time Frame to start:
Please Choose...
1-3 Months
3-6 Months
6-9 Months
9-12 Months
Over 1 Year
Approx Sq Ft:
Please Choose...
Less than 300
300 to 600
600 to 1,000
1,000 to 1,500
1,500 to 2,000
2,000 to 3,000
3,000 to 4,000
4,000 to 5,000
Over 5,000
Approx Budget Range:
Please Choose...
Under $10,000
$10,000 to $15,000
$15,000 to $20,000
$20,000 to $30,000
$30,000 to $50,000
$50,000 to $100,000
$100,000 to $150,000
$150,000 to $200,000
$200,000 to $350,000
$350,000 to $500,000
$500,000 to $750,000
Over $750,000
Question/Comment:
For Custom Home Information
Please complete the following
Do you currently own property for your new home?
If so list Subdivision name and either the City or County
Subdivision & City:
Type of Home:
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Ranch
Two Story
Multilevel
Other
For Remodeling Information
Please complete the following
Type of Project:
Please Choose...
Kitchen
Bath
Addition
Garage
Whole house
Pop top
Basement finish
Deck
Specialty room
Other
Age of house:
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