LANDIS CONSTRUCTION CORPORATION

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Name*

Last Name*

I am the

Homeowner Architect

Project Address

Zip Code*

Telephone # *

Best Time to Call

E - mail*

How did you hear about Landis?

	Magazine
	Street Signs
	Referred By
	Website
	Other

Do you have drawings

Yes No

Do you have a plat (survey paper)

Yes No

Type of Home

Detached Semi Detached Row

Where are you in your project?

When would you like to start?

Do you have a budget in mind?

If you have pictures of your project, please attach them to this message.

Please tell us a little about your project: The "must have", the "needs", the "wants", plus a
general description of the work as you envision it. Also, if there are any special
circumstances, like new baby due in 6 months or any financing issues.

If you'd like to contact a specific Sales Manager, please choose one from below, otherwise you may choose "any"

Ethan Landis.
MBA, Principal.

Any

Chris Landis.
AIA, Principal.

James Noel.
Sales Manager

Taylor Matthews.
Team Leader.

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