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The following questions will help us provide you with the most pertinent information.  Any personal information you share with us is treated as highly confidential and is never given to any other individual or company. Do You Own a Building Lot? -select- YesNoHave Deposit on PropertyIn Process of Purchasing    If so, in what State? CTMANY    City/Town:    County: If No,      where are you looking? CTMANY    City/Town:    County: Will you be selling a home? Yes No Time frame for obtaining a new home -select-1-3 months3-6 months6-12 months1-2 years2+ years Style of Home -select-RanchColonialRaised RanchCape CodSplit-levelChaletVictorianUndecided Size of Home -select-< 1,000 SF1,000-2,000 SF2,000-3,000 SF3,000+ SF Approx. Price Range Price should include -select-Modular onlyModular & finish-workModular, Finish-work & land Have you investigated financing? -select-Please send infoAm pre-approvedWill make own arrangements How did you find our web site? -select-Search EngineBuilding Systems CouncilFriend/FamilyOther Additional comments or questions:   Name: (required) E-mail address: (required) Day Phone: Eve Phone: Address: . City: ST ZIP:

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