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MHIC #25262
Please furnish the following information:
Your Contact Information
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Name (required)
Address
City
State
Zip
*
Daytime Phone
Email
Project Information
Type of Project (Check all that apply):
Room Addition
Kitchen Remodel
Bathroom Remodel
Deck or Porch
Garage
Apartment
Finish Basement
Siding/Windows
Roofing
Other
Briefly describe the work you are planning:
Please indicate your proposed budget:
-- Please choose --
$1-3000
$4-5000
$6-10000
$11-15000
$15-25000
$26-50000
Other
Please indicate your plans for financing:
-- Please choose --
Cash
Home Equity
Visa / Master Card
Bank Loan
How old is your home?
-- Please choose --
1-2 Years
2-5 Years
5-10 Years
10+ Years
How much area is to be improved?
-- Please choose --
200-400 sq. ft.
400-600 sq. ft.
600-900 sq. ft.
Over 900 sq. ft.
Not really sure
When would you like to start?
-- Please choose --
30 Days
60 Days
90 Days
Over 90 Days
Are you also working with other contractors?
-- Please choose --
Yes
No
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