CLIENT INFORMATATION
CLIENT NAME
MAILING ADDRESS
CITY / STATE / ZIP
EMAIL ADDRESS
HOME PHONE���� CELL PHONE����� FAX
HOME PHONE*���� CELL PHONE���� FAX�
EMERGENCY CONTACT NAME
EMERGENCY CONTACT PHONE NUMBER
MODULAR HOME INFORMATION
FLOOR PLAN INFORMATION (PLEASE SELECT ONE OF THE OPTIONS)
������������ � STANDARD MODEL CHOSEN - MINOR REVISIONS
������������ � STANDARD MODEL CHOSEN - MAJOR REVISIONS
������������ � STANDARD PLANS FROM OTHER THAN MODULAR HOME PLACE
������������ � ABLE TO EMAIL THE PLANS TO MODULAR HOME PLACE
������������ � MUST BE VIA GROUND SERVICE TO MODULAR HOME PLACE
������������ � CUSTOM DESIGN SERVICES WILL BE REQUIRED BY MODULAR HOME PLACE
EXPECTED DELIVERY DATE OF MODULAR HOME
������������ ������������ � THREE TO SIX MONTHS
������������ ������������ � SIX TO NINE MONTHS
������������ ������������ � NINE MONTHS OR MORE
TOTAL BUILDING BUDGET
CONSTRUCTION INFORMATION
WHO WILL BE ACTING AS THE GENERAL CONTRACTOR ON THIS PROJECT? - SELECT THE MOST APPROPIATE CHOICE.
THE CLIENT LISTED ABOVE WILL BE ACTING AS OWNER/BUILDER
������������ � BEING THE OWNER BUILDER I AM AWARE OF MY RESPONISIBILITIES AS� OUTLINED AND DESCRIBED IN
������������������ THE �BUYERS RESPONSIBILITIES� AND �TERMS� AND CONDITIONS� OF MODULAR HOME PLACE FOR
������������������ THE PURCHASE OF A MODULA R HOME.
THE CLIENT WILL BE HIRING A GENERAL CONTRACTOR FOR THE PROJECT
������������ � GENERAL CONTRACTOR�S NAME
������������ � GENERAL CONTRACTOR�S PHONE NUMBER
������������ � BY HIRING A GENERAL CONTRACTOR BOTH THE CLIENT AND THE GENERAL CONTRACTOR
������������������� UNDERSTANDS THE RESPONISIBILITIES AS OUTLINED AND DESCRIBED IN THE �BUYERS
������������������� RESPONSIBILITIES� AND �TERMS AND CONDITIONS� OF MODULAR HOME PLACE FOR THE PURCHASE
������������������� OF A MODULA R HOME AND THAT WILL GENERAL CONTRACTOR WILL BE LISTED AS THE BUILDER
������������������� OF THIS PROJECT.
BUILDING LOT INFORMATION
BUILDING LOT ADDRESS
BUILDING LOT COUNTY
BUILDING LOT CITY / STATE / ZIP
COMMENTS / CONCERNS PERTAINING TO BUILDING LOT
PAYMENT METHOD
CASH - NO MORTGAGE WILL BE NECESSARY FOR THE PURCHASE.
MORTGAGE WILL BE USED (MORTGAGE INFORMATION MUST BE COMPLETED)
MORTGAGE INFORMATION
MORTGAGE PROVIDER�S NAME
PREAPPROVED AMOUNT
CLOSING DATE
������������������������� Click on the button below to regester as a buyer to receive factory pricing.
Please use this form to register yourself as a future client of Modular Home Place.� This form must be completed to receive factory pricing on any home.� Thank you and we look forward to working with you in the future.
Buyer Registration
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Thank you for visiting Modular Home Place, our toll free number is 1-866-557-1984.
Email us at:� [email protected]
Modular Home Place, LLC
toll free: (866)-557-1984