Builder Referral Form:
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
example@example.com
How soon are you looking to build?
Please Select
Immediately
1-2 Months
2-4 Months
4-6 Months
6-12 Months
12-24 Months
Not Sure
Have you already purchased land?
Please Select
Yes
No
Where is your land located?
Please Select
Chelsea Farms
Perennial Springs
Other -Please describe below.
What is your Lot Number
What is your budget?
Please Select
$100,000 or less
$100,000 to $125,000
$125,000 to $150,000
$150,000 to $175,000
$175,000 to $200,000
$200,000 to $225,000
$225,000 to $250,000
$250,000 to $275,000
$275,000 to $300,000
$325,000 to $350,000
$350,000 or more
How much can you put down to build?
Please Select
$2500
$5000
$7500
$10k
$15k
$20k
$25k
More than $25k
Are you pre-approved for a loan.
Please Select
Yes-Please upload your pre-approval letter below.
No
If you would like to apply for a loan please visit our website.
What type of home would you like to build?
Please Select
Cabin
Container
Tiny Home
Yurt
Modular Home
Traditional Home
How many bedrooms?
Please Select
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
5 Bedrooms or more
How many bathrooms?
Please Select
1 Bathroom
2 Bathrooms
3 Bathrooms
4 Bathrooms
Please describe the type of home that you would like to build. You can also use this space for comments, questions, concerns or suggestions. If you have a blueprint or design you can upload it below.
File Upload
Browse Files
Drag and drop files here
Choose a file
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of
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Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Should be Empty: