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Online Submission Form
Please enter information appropriate for your situation and how you prefer to be contacted to respond with information you require. You may print this form and mail
it to the address at the bottom if you are unable to complete it online.
Tell Us About You
Title
First Name
 
Last Name
 
Street Address
 
Mailing Address
 
City
 
State
 
Zip Code
 
Phone Number
 
Cell Phone
Fax
Number of People in Family
Type & Number of Pets
E-mail Address
Best time & way to reach me

Name Of Floor Plans That I Like
Select Your Top 3 Choices
My Favorite My Spouses Favorite
Second Choice Second Choice
Third Choice Third Choice
I would like pricing and information on the selected models
Yes Contact Me


Tell Us About Your Dream Home
Select the rooms your home should have.
 
Living Room
Family Room/Kitchen Combo
 
Dining Room
Eat In Kitchen
 
Family Room
Gourmet Kitchen
 
Great Room
Kitchen w/Island
 
Home Office
Library/Den
 
Master Suite
Glamour Baths
 
Guest Suite
Children's Suite
 
Game Room
Laundry Room
 
Nursery
Mud Room
 
Foyer
Sunroom
 
Other Room
Type of Other Room
Select other features for your home.
Type of Home
 
Style of Home
   
Number of Bedrooms
 
Number of Bathrooms
 
Type of Garage
 
Type of Lot
 
Type of Foundation
 
Type of Heating Fuel
   
Type of Main Heating Source
 
Air Conditioning
 
Air Locks at Entries
 
Preferred Ceiling Style
   
Skylights
 
Desired Square Footage
 

Financing Your Dream Home
What I have already
Do you currently own a home?
   
Do you need to sell your home?
   
Would you like a referral to a Realtor?
 
How much equity do you have in your current home?
 
I have already been pre-approved for:
 
Would you like a referral to a mortgage specialist?
   

What my goals are
Desired Price Range?
 
Desired Town/City?
 
Time Frame For Completion
 
Other Considerations
 

Comments or Suggestions?

Office (716 ) 792 - 4448
Cell (716) 228 - 1201
Office Manager (716) 228 - 1802
Maple View Homes LLC. ~ P.O. Box 168 ~ Brocton NY 14716
http://clix.to/mapleview


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