Thank you for your interest in Place Builders. Please complete the form below to help us better assess your your preferences for the home you are interested in building. Or if you just have some general questions, you can e-mail them to sales@placebuilders.com or call us at (574) 259-4858.

Name*
Address
City	State    State Other
Zipcode
E-Mail*
Phone
Fax

	Approximately what size home do you wish to build?
1,500 to 2,000 s.f. 2,000 to 2,500 s.f. 2,500 to 3,000 s.f. 3,000 to 3,500 s.f. 3,500 to 4,000 s.f. 4,000 to 4,500 s.f. 4,500 to 5,000 s.f. more than 5,000 s.f.

	How many stories do you want?
	1 story 3 story 2 story split level

	How many bedrooms would you like?
	2 4 3 5 or more

	What type of foundation do you want for your home?
	Crawl space Partial basement Full basement - 8' tall Full basement - 9' tall

	What type of garage would you prefer?
	2 car garage 3 car garage 4 car garage

	What is your price range?
	$100,000 to $150,000 $150,000 to $200,000 $250,000 to $300,000 $300,000 to $350,000 $350,000 to $400,000 $400,000 to $450,000 $450,000 to $500,000 more than $500,000

	Which Place Builders communities are you interested in?
	Berry Knoll Villas Carefree Villas Carrington Place Carrington Place East Fieldstone Crossing The Forest Gumwood Villas Hidden Creek Inverness Woods Knollwood Communities Laurel Creek Prairie View Rosewood Villas Savannah Pass Rosetta Place Western Meadows Off site

	Why do you want to build a new home?
	Would like a larger home Would like a smaller home Relocation to the South Bend area Retiring Want to move into a better school system Lifestyle change Just want a new home Other

	How soon do you want to begin building your new home?
	Immediately 4 to 6 months 6 to 9 months 9 months to 1 year 1 to 2 years

Is there any additional information that would be helpful in assessing the type of home and location you would like to build? Have a representative contact me by phone Have a representative contact me by e-mail Send me more information