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    Potter House Builders
    Lee Rickey
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    OFFICE/FAX: 859-384-2006
    CELL:859-393-6592
    potterhousegroup@gmail.com
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New Construction Question Form
Please provide the following contact information:
Name:
Address:
Last Name:
City:
State:  Zip: 
Home Phone:
Cell Phone:
Fax:
Email:
Please check all that apply to your new construction project?
Need A Floorplan
Basement Finish
Ranch
Currently have a Lot / Land
Desired Location of Town
Other, If Other Please Describe:
 Have a floorplan that you like
Two Story
Walkout Basement
Looking for a Lot / Land
How soon do you wish to begin the project?
How many square feet are you thinking about?
Do you have an estimated budget that you are trying to stay in?
Yes   No
If yes: please indicate:
How did you hear about us?
Advertisement     Past Customer
Referral/Friend    I was given a business card
Our vehicles        Web search
Other  
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