Cornerstone Log and Timber Homes - Information Form

Name:
Street Address:
City:	State: Zip:
Daytime Phone:	Evening Phone:
E-mail Address:

Do you currently own property for your new log home? YES: NO:

Where do you plan to build your new log home? County & State:

We plan to start construction in: 2003 2004 2005 2006 2007 2008

How large do you want to build in square feet? Less than 1000 1200 1500 1700 2000
2500 3000 3500 4000 Larger than 5000

What is your budget "NOT INCLUDING" land, well, and septic?

Less than $100,000	$100,000 - $150,000	$150,000 - $200,000	$200,000 - $250,000
$250,000 - $300,000	$300,000 - $400,000	$400,000 - $500,000	More than $500,000

Please provide us with any additional information you feel would help us determine your wants and needs for your new log home:

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E-mail: info@cornerstoneloghomes.com

Phone: 1-800-255-4713

Website Design: Solid Rock Designs
        (c) 2002 Solid Rock Designs
        PO Box 8637
        Rocky Mount, NC 27804
        Phone: (252) 212-5093 / Fax: (978) 926-8140
        e-mail: info@solidrockdesigns.com