Patriot (Two-Story)

Your Name (if Spouse fill in their name in Additional Name): *

Additional Name:

Current Address (Include City, State, Zip): *

Best way to contact you (Check all that apply):

Cell Phone Number: *

Email: *

Work Phone:

Home Phone:

What you're looking for: *

Do you understand we only service Wisconsin and Michigan?

Where do you plan on building your new home? We only build in Michigan & Wisconsin. *

County of new home location? (TBD if unknown) *

City/Village/Township of new home location? (TBD if unknown) *

Do you own land? *

What is your desired price range?

What is your desired square footage?

I plan to build within:

Did you see any listings that interested you? If so, what are their names?

Please describe in detail exactly what you are planning to do:

Human Verification *

What is 3+4?