Name:

Address:

City:

State:

Zip:

Home phone:

Work phone:

Email:

Is this your 1st log home?

> No Yes

Do you have a sketch or blueprint?

> No Yes

Do you own property for your log home?

> Yes No

If yes, our property is located in:

We plan to start construction in:

The SQ footage desired is:

Your budget not including land, well, septic, electricity and telephone is:

> Less than $100,000 Less than $150,000 Less than $200,000 Less than $250,000 Less than $300,000 Less than $350,000 Less than $400,000