Guest Registry and Information Request Form

If you are interested in finding out more about Hearthstone Homes, please complete this form and then click the Send it! button to send it to us. Any information provided on this form will be kept in confidence. We do not sell lists!

All fields in red must be filled in


Name:     
Company: 
Address: 
City:     ST:  Zip:
Country: 
Home Ph:  Time to call: 
Work Ph:  Ext. Time to call: 
FAX:     
Email:

Type My interest is in 

Size The home I am planning is about  square feet in size. 

Style The home I am planning is a

PLEASE NOTE: The turn-key cost of a log or timberframe home is approximately $100 to $160 per square foot depending on finish appointments, appliances, and fixtures chosen by the home owner and the region of the country in which the home is constructed. However, clients in the Southeastern United States should expect to invest in the $110 to $140 per square foot range for a nicely finished home.

Not including my land acquisition, I am expecting to invest a total of

Budget to complete my home.

I will use my new home for .

I hope to be enjoying my new home in of .

I am planning to start construction in of .

Land Have you purchased/selected a building site?

If so, where is it located? County/Parish:

ST:

How did you hear about us?

Comments:

I would like a sales representative to contact me: Yes No

May we telephone you if we need clarification on your request? Yes No