Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Project Location *

Is this project in Allen County, Indiana?

Yes

No

Previous Experience *

Have you hired a contractor before?

Yes

No

Rate your experience *

Was it a good experience with your contractor?

Yes

No

Enviro-friendly product & processes *

Have you considered remodeling with enviromentally friendly products and processes?

Yes

No

Level of Investment *

What is your level of investment?

$1,000 - $5,000

$5,000 - $10,000

$10,000 - $20,000

$20,000 - $30,000

$30,000 - $40,000

$40,000 +