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First Name
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Last Name
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Email Address
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Address
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City
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State
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Zip
Day Phone
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State home will be placed:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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City or county
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What type of home are you considering?
Manufactured Home
Modular Home
Panelized Home
Traditional Home
Other
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What is your projected budget?
$100,000 to $150,000
$150,000 to $200,000
$200,000 to $400,000
$400,000 +
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Year:
2010
2011
2012
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Approximate start date:
January
February
March
April
May
June
July
August
September
October
November
December
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Will you be financing your home?
Yes
No
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Please select answer below:
I own property home will be placed
I am in the process of looking for property
Need help locating property
Looking for a development
Please rate your credit history
Excellent
Some minor problems but good overall
Major problems may need help securing a loan
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Please select one answer below that best describes your situation:
Just beginning to gathering information
Trying to select a builder/manufacturer
Been pre-approved
Preparing my site but have not selected a builder
I am a builder considering using modular or manufactured homes
Best way to contact you?
Day phone
Email
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