First Name
Last Name
Address
City
State
Zip Code
Home Phone (area code + number)
Work Phone (area code + number)
E-Mail Address
Are you currently working with a sales rep?	Yes No
If yes, please enter Sales Rep's name.

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Anticipated Building Time Frame:	3 - 6 Months 6 - 12 Months 1 - 2 Years Other
Looking for new construction, but don't want to wait, see our Homes for Sale Section.
How Did You Hear About Us?	Choose One TV Program Billboard Newspaper Ad Magazine Ad Direct Mail Model Open Signage Friend/Relative Home Builders Expo Spring Tour Parade of Homes

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Do You Currently Own A Lot?	Yes No
If You Currently Own A Lot Please Indicate Where:

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Type of Home You Prefer?	Choose One RANCH FIRST FLOOR MASTER BEDROOM SUITE 2 STORY – ALL BEDROOMS UP ACCESSIBLE HOME
Would You Like Information Regarding a Specific Model?	Choose One RANCH - The Aston - The Block Island - The Cedar Ridge - The Redfield - The Rexford - The Rexford II - The Rock Island - The Stanford FIRST FLOOR MASTER BEDROOM SUITE - The Bristol - The Bristol II - The Eastgate - The Eastgate II 2 STORY - ALL BEDROOMS UP - The Arlington - The Belmont - The Belmont II - The Granville - The Hadley House - The Hampstead - The Harrisburg - The Lancaster
Size of Home Preferred:	1,500 - 2,000 sq ft 2,000 - 2,500 sq ft 2,500 - 3,000 sq ft 3,000 - 3,500 sq ft

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Price Range Preferred (new home only)	$150,000 - $200,000 $200,000 - $250,000 $250,000 - $300,000 $300,000 - $350,000 $350,000 - $400,000 $450,000 - $500,000

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Comments or Suggestions