Full Name
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First Name
Last Name
Phone
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Email Address
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Project Address
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Contact Preference
Email
Phone
Project Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you worked with Tim Englert Construction before?
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Yes
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If not, how did you hear about us?
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Friend / Referral
Internet Search
Truck or Yard Sign
Facebook
Other
Referral Name
Time Frame for Completion
Fewer than 6 months
Between 6 and 12 months
Greater than 12 months
Type of projects you are planning
Home Addition
Kitchen
Basement
Siding / Roofing
Bathroom
Whole House
Windows / Doors
Other
Do you have an insurance claim?
Yes
No
What Year was your Home Built?
Insurance Company
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Type of Loss
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Have you remodeled in the past?
Yes
No
Are you Interviewing other contractrors?
Yes
No
Architect
Designer
Additional Comments / Project Description
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