Name* First Last Email* Phone*Within what timeframe are you looking to build a home?*ImmediatelyWithin 6 monthsWithin a yearMore than a yearNot SureWhat step have you reached in the design preparation process?*I have some ideasI am looking for an architectI have hired an architectI have my final plansI have applied for permitsApproximately how many square feet are you looking to build your home?*Less than 1,000 Sq ftFrom 1,000 – 2,000 Sq ftFrom 2,000 – 3,000 Sq ftFrom 3,000 – 4,000 Sq ftFrom 4,000 – 5,000 Sq ftMore than 5,000 Sq ftIn which style are you looking to build your home?*BungalowCape CodColonialCountryDutch ColonialFarmhouseGeorgianModernRanchTudorVictorianOtherWhat is the status of the land on which you want to build?*I am not currently looking for landI am looking for land to build onI have chosen a lot but not purchased yetI already own the land on which I want to buildApproximately, what is your budget for this project?*Under $50,000$50,000 - $100,000$100,000 - $200,000$200,000 - $300,000$300,000 - $500,000$500,000 - $800,000Over $800,000Please enter the location where you want to build* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If you don't have an address yet, type UNKNOWN.What are you planning to do with your home?*I am going to sell itI am going to rent it outI am going to live in itI am going to use it as a vaction homeHow knowledgable do you consider yourself about Modular Homes?*I don't know a thing about modular homesI know a little bit about modularI know that there are some advantages to building modularI have done a good deal of research on modular homesI have already built a modular homeWhat questions or comments do you have? Or, if you are requesting a quote, what additional instructions or specifications can you give us?*We Respect Your Privacy* I understand that my personal information WILL NOT be shared with any party not associated with The Modular Builder Network.