Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Spouses Name
First Name
Last Name
Spouses Email
Spouses Phone
(###)
###
####
What is the best way to contact you?
Name and ages (Children) that will be occupying the home?
Where are you at in the custom home process?
Where would you like to live OR where is your homesite?
*
Size of Property
Utilities
Are You:
How many family members will be living in the home full time?
How often do you hosts guests overnight?
Do any family members have special needs (including persons with physical limitations)?
Do you anticipate the family dynamics changing in the near future (baby, parents moving in, children home from college, other)?
Do any family members have allergies to any building materials or heat sources?
What style of home?
Main-Level Master Bedroom
Main-Level Second Bedroom
Main-Level Office
Total Bedrooms Required
Finished Basement?
Bedrooms in Finished Basement?
Finished Square Footage
What size home are you planning? If you are finishing your basement, please include the basement finished square footage.
Garage - Number of Bays
Do You Need the Following:
Will you require alternative energy sources?
What would you love to have in your home, but is not essential to your everyday living?
Did we miss something?
