First Name: Last Name: email Address: User Name: Password (at least 7 characters): Phone Number : Street Address: City: State: Zip Code: I am interested in more information. Please contact me: In what State do you want to place your new home?: Arizona California Colorado Idaho Montana Nevada Oregon Washington Wyoming Utah In what city do you want to place your new home: What size home are you looking for: 1100 to 1500 Sq Ft 1500 to 2100 Sq Ft 2100 to 2800 Sq Ft I don't Know How many Bedrooms do you prefer?: 2345Other How many Bathrooms do you prefer: 123other How soon are you going to buy: Within the next 3 months Within the next 4-6 months Within the next 6 to 12 months List any model numbers or floor plans you are interested in: Property: I own land, It is paid for I have found property I would like to purchase I am relocating & don't know what property is available I am looking for a land-lease community How are you planning on setting your home: Foundation Basement 1 Level Stem Wall Temporary Set w/ skirting What would you like your monthly payment to be?: $600 to $800 / month $800 to $1,000 / month $1,000 to $1,500 / month Would you like us to help you with financing: Yes No What is the best time to contact you?: Have you visited one of our retail sales locations before: Yes No How did you hear about us: Google Yahoo Phone Book Friend Flyer Sign Spoke to Tony Spoke to Patrick Spoke to Brett Spoke to Kim Other

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