|
|
First Name
|
|
|
|
|
|
|
Last Name
|
|
|
|
|
|
|
Street Address
|
|
|
|
|
|
|
Address (cont.)
|
|
|
|
|
|
|
City
|
|
|
|
|
|
|
|
|
|
State
|
|
|
|
|
Zip/Postal Code
|
|
|
|
|
|
|
(xxx) xxx-xxxx Cell Phone
|
|
|
|
|
|
|
|
|
|
|
|
|
Home Phone
|
|
|
|
|
|
E-mail
|
|
|
|
|
|
|
|
What area would you like to receive more information?
|
|
|
|
|
|
|
|
What year do you plan for construction?
|
|
|
|
|
|
|
|
What is your budget excluding land to build or remodel?
|
|
|
|
|
|
|
|
What size of home would you build?
|
|
|
|
How many bedrooms?
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Have you decided on a floor plan?
|
|
|
|
How many bathrooms?
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Do you have land for your home?
|
|
|
|
|
|
|
|
What is your favorite feature of a log home?
|
|
|
|
|
|
|
|
What other information can you tell us that will
help us assist you? (Any other comments?)
|
|
|
|
|
|
|
|
Do you know anyone who you would like to share this information with?
|
|
|
|
|
|
|
First Name
|
|
|
|
|
|
|
|
|
|
Last Name
|
|
|
|
|
|
|
|
|
|
(xxx) xxx-xxxx Home Phone
|
|
|
|
|
|
|
E-mail
|
|
|
|
|
|
|
|
|
|
|
|
|
