First Name:
Last Name:
Street Address:
City:
State:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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Nevada
New Hampshire
New Jersey
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New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Phone • Daytime:
Phone • Evening:
Email Address:
Best time to contact you:
Best phone number to use:
Daytime Evening
How did you learn of Teakwood Builders?
Select One
Professional Reference
Client Reference
Friend Reference
Teak Staff Member Reference
Vendor/Supplier Reference
Job Site Signage
Vehicle Signage
Clothing/Teak Apparel
Website/Internet Search
Chamber of Commerce
Builders Association
Marketing
Advertising/Ads
Repeat Client
Other
Have you ever built a new home or remodeled an existing one?
Yes No
If yes, what did you do and how was the experience?
What is the style and age of your home?
How long have you been in your home?
Years (approx)
Please select the type of work you would like to have done:
Select One
Addition Only
Addition with Bath
Addition with Kitchen
Addition with Kitchen & Bath
Second Story Addition
Attic Conversion
Basement Conversion
Bath Remodel
Deck
Exterior Renovation
Interior Renovation
Garage Addition
Kitchen Remodel
Master Bath Suite Remodel
Pool Cabana
Front Porch
Screened Room
3-Season Sunroom
New Home
Whole House Renovation
Other
If you selected "Other" please describe what type of work to be done. You may also describe details about your project:
Do you have architectural or interior design plans?
Yes No
If yes, please name your design professional?
Are you interested in a Design/Build package?
Yes No
Have you contacted any other builders?
Yes No
If yes, please provide the name of the company/companies:
Would you like more information on our available lots?
Yes No
What is your estimated budget range?
Select One
$20,000 to $50,000
$50,000 to $100,000
$100,000 to $150,000
$150,000 to $250,000
$250,000 to $500,000
$500,000 to $750,000
$750,000+
How long have you been considering this project?
Select One
3 to 6 months
6 to 9 months
9 to 12 months
1 to 2 years
2+ years
When would you like your project to start?
Select One
ASAP
30 to 60 days
60 to 90 days
Flexible
Any additionl questions/concerns or project description: