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Please take a moment to answer the questions below so that we may better serve you.

* indicates fields that are mandatory.

• Salutation   --None-- Mr. Ms. Mrs. Dr. Prof.
• First Name *
• M.I.  
• Last Name *

• Address

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  Street Address Line 2

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  Pick One AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT MX NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY  

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• Home Phone
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• Business Phone
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• Email *

I intend to build: (Pick One) *
Within 6 months
In 6-12 months
In 12-24 months
In 24+ months
Eventually - but just starting the process
Not sure - I am just curious

The budget for my new home (excluding land) is: (Pick One) *
$150 per sq. ft. or less
$150 to $200 per sq. ft.
$200 to $250 per sq. ft.
$250 to $300 per sq. ft.
$300 to $350 per sq. ft.
$350 per sq. ft. or more
n/a – I am not building a new home.

• The location in which I would like to build is:
  City  
  

  State *
  --None-- INTERNATIONAL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
  Zip  
  

  Country *
  

I already own the land on which I intend to build. *
• True
• False
•     If false, I expect to spend this much on land:

You are best described as: (Pick one) *
A potential customer (building a home for myself)
A potential buyer of a LivingHome in the Joshua Tree community
A potential buyer of a LivingHome in the Palm Springs community
A potential buyer of a LivingHome in a community located in this city / state (Please specify):
        
A developer. Please specify below.
Architect
Design Enthusiast
Eco-Aficionado
Press
Government / Non-Profit
Supplier / Trade Partner

• My company name:

I would like someone from LivingHomes to contact me directly
about building or buying a LivingHome.
• Yes
• No

Is there anything else you'd like us to know?