Contacting Us

Please provide the following contact information:

Name:  

Address:         Address Line 2:  

City:         State:         Zip:  

Phone:        Fax:        Email:  

Preferred contact method:    Email     USMail     Phone     Fax

Best time to call:        AM     PM   <--- please choose one

Current Situation
Residence Land Ownership Household Income
Rent

Own

Other

Own in full

Own with payments

Do not own

Looking

$25,000 - $50,000

$50,000 - $75,000

$75,000 - $100,000

Over $100,000

Desired Housing Situation
Plans Style I Want To
Have Plan

Need Plan

Have Idea

Ranch

Two Story

1 1/2 Story

Split/Entry Level

Other 

Undecided

Hire a builder

Be the general contractor

Do some work myself

Other 

-Undecided

Square footage:   1,000-1,500   1,500-1,800   1,800-2,200   2,200-2,500   2,500-3,000   3,000+

Monthly mortgage w/taxes:    $1000-$1200    $1200-$1500    $1500-$1800    $1800+    Other  

Start building within:      0-6 months    6 months-1 year    1 year +    Undecided

Where would you like to build? 

Do you need financing?  Yes     No

How did you hear about us?     -Website   Friend   Other  

Comments or questions:

As a security measure, please enter the characters displayed here in the box provided.  This cuts down on the false submissions we get caused by webbots.

          Security Code:

2009
 

Reproduction of this World Wide Web Site in whole or in part is prohibited without permission. All rights reserved.
 Trademarks and copyrights are the property of the respective owners and may not be used without permission.

Fourth Coast Creations ... Web sites by David J. Schryver