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__First Name__________------------___Last Name

             

    

    Mailing Address

   

 

    City                   --   --- --       State  ----- Zip Code 

           

 

 

    Home Phone            ----     Work Phone

              

 

    Email 

   

 

    When is the best time to reach you?   

    How did you hear about us?

    Referral                 Post Cards              Arch./Design Eng.

    Home Show           Past Client             Mail/Newsletter

    Truck Sign              Yellow Pages          Web Site

    Job Site Sign         TV Ads

    What type of remodeling do you need?

    Whole House          Kitchen                   Room Addition

    Commercial            Bath                       Hot Tubs & Decks

    Painting & Flooring  Windows & Doors Basement Finish

    Other                          

    Do you own the house?

   

    How long have you lived in the house?

   

    What is the approximate age of the home?

    Have you been through the remodeling process before?                

   

    What did you have done?

    How well did it go?    

   

    How much have you budgeted for or plan to invest on this project?

    ( 20k, 30k, etc.)

    Would you like information on financing?

   

    How soon would you like this project to begin?

   

    Are there any upcoming events to plan around or consider?

   

    Do you have working drawings or blueprints?

   

    Have you talked with other professionals?

   

    Describe Remodeling & Design Needs?

   

   

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