Contact Form

Jack Hutslar
Sales & Project Management
for Log Homes by Jack

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Please Fill in the Information in the boxes below and click on Submit. I will respond soon, Jack

Contact Form
Questions marked by * are required.
1.	Name: *
2.	Email: *
3.	Mailing Address: *
4.	Day Phone: *
5.	Evening Phone:
6.	Fax Number:
7.	Best Time To Call:
8.	Square Footage Preferred:
9.	Have Land?: yes no
10.	Have Financing?: yes no
11.	Total Budget Dollars:
12.	Wood Species Preferred: Cedar Eastern White Pine
13.	Have A Preferred Floor Plan?: yes no
14.	Style:
15.	Number of Stories: 1 1+1/2 2
16.	Want a Loft?: yes no
17.	Other Features: Open Kitchen Dining Room Living Room Cathedral Ceiling Prow or Window Wall
18.	How many Bedrooms?:
19.	How many Bathrooms?:
20.	Garage:
21.	Basement: crawl space slab or pad
22.	Self Builder: yes no
23.	Want Shell or Dry In By Us?: yes no
24.	Want Turnkey By Us?: yes no
25.	Annual Maintenance After Construction: yes no
26.	What state & county do you live?:
27.	What state & county do you plan to build?:
28.	Expected Start Date:
29.	Comments:

Jack Hutslar, Sales & Project Management
Sally Hutslar, Lic. VA & NC Real Estate Sales

Virginia Office at Smith Mountain Lake
P O Box 140
Huddleston VA 24104

800.767.4916 toll free
336.407.2157 mobile
540 297-9052 fax

North Carolina Office in the Triad
P O Box 957
Kernersville NC 27285

Jack@LogHomesByJack.com
http://www.LogHomesByJack.com

Log Homes By Jack © 2007