Built Stronger, Better, Faster


Name *
Contact Telephone #
E-mail Address: *
When is the best time to call you *Mornings
Evenings
Weekends
Anytime
Do Not Call Me
Address where you want to build
City *
State *
Zip Code *
Do you own the land where you want to build? *Yes
No
What size is your lot?
What is your timeframe for building?
How many bedrooms do you need?2
3
4
5 or More
How many bathrooms do you need?1 an 1/2
2
2 and 1/2
3 or more
Approximately what size house are you looking to build? *1500-2500 square feet
2500-3500 square feet
3500-4500 square feet
4500-5500 square feet
Greater then 5500 square feet
Have you found a floorplan or model that you like?
Do you have a Preliminary Budget in mind?
Have you explored financing options?Yes
No
Any other comments regarding your home search?

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Pinecrest Modular Homes
255 Executive Drive Suite 407
Plainview, N.Y. 11803
516-472-7033 / 631-249-4929 / 800-621-4970 (Fax)
Sales: sales@pmhi.net
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