Due to the overwhelming response, we request that you fill out the following form as completely as possible. This will enable us to respond as quickly as possible.

 
Do you own a site (property) to build your Quik House? :
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  yes
  no

 
If  you selected "yes",
please tell us about your Quik House site location :
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street address

town / city
  state / province
 
  zip / postal code
 
  country
 
 
 
What is the size of your Quik House property? :
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Please tell us about your Quik House site conditions :
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How will you use your Quik House? :
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Who will be living in your Quik House? :
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When do you intend to build your Quik House? :
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How much is your Quik House budget? :
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  U.S. dollars
 
 
How much, if any, of your Quik House will be mortgaged? :
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  U.S. dollars
 
 
Do you have your own contractor? :
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  yes
  no
 
 
Enter your Quik House questions :
 
 
 
Tell us how to get in touch with you:
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  your name (first, last)   required
 
  your e-mail address   required
 
  confirm your e-mail address   required
 
  your telephone number   required
 
   

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