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:

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