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Address

City                                                    State                            Zip Code

Daytime Phone Number                       Evening Phone Number (after 6 PM)

When is the best time to call:       Any time Morning after 9 AM until noon Afternoon Evening after 6 PM until 9 PM

Email address

Do you plan to build a single family home, multi-family building, or other type building?

Single family home   Multi-family building   Apartment Building

Commercial building or other type structure (please specify in the comment window below)

If multi-family or apartment building, how many units?  please select a value duplex 3 to 5 units 5 to 10 units 10 or more units 2 or more buildings

If a single family home, what style home are you interested in building?

Ranch                               Raised Ranch                   Split Level

Cape                                 Two Story                         Contemporary

How many bedrooms?

1 to 2 bedrooms              3 to 4 bedrooms              5 or more bedrooms

How many bathrooms?

1 bathroom                      1 and 1/2 bathrooms       2 or more bathrooms

How many car garage?

no garage                        1 car garage                   2 or more car garage

Do you have a lot to build on?   Yes   No    Please refer me to a Realtor

What is the price range for your completed project?   please select a value Less than $150,000 $150,000 to $300,000 $300,000 to $400,000 $400,000 to $500,000 More than $500,000

When do you plan to build?  please select a value Within 3 months 3 to 6 months 6 months to 1 year More than 1 year from now

Where do you want your home or building delivered? please select an area Atlantic County Bergen County Burlington County Camden County Cape May County Cumberland County Essex County Gloucester County Hudson County Hunterdon county Mercer County Middlesex County Monmouth County Morris County Ocean County Passaic County Salem County Somerset County Sussex Counth Union County Warren County Outside New Jersey Not sure yet

Please add any comments that will help us in determining your building needs.  Please be sure to include your email address in the field above if you are requesting a link to view manufacturer floor plans on the web.

Thank you for completing this form.  A representative from Springfield Builders, LLC will contact you as soon as possible.

Joseph Zetkulic                     NJ General Contractor #039124

Springfield Builders, LLC      PO Box 3, Jobstown, NJ 08041

Office: 609-723-6287 • Cell: 609-417-0255

Email: SpringfieldBuilders@msn.com

Springfield Builders, LLC

Residential ● Commercial ● Modular ● Site-Built ● New Construction ● Remodeling

Standard Floor Plans ● Design-Build ● Custom Floor Plans