Home Addition Form
Name:		Address 1:
Address 2:		City:
State:	Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming	Zip Code:
E-mail address:		How Many Stories is this addition?:	One Floor Two Floors More Than Two Floors Not Sure
Which Rooms will this involve?:	Kitchen Family Room Home Office Greenhouse Master Bedroom Master Bathroom Other Bathroom Basement Other Room	What are the dimensions of the project (Sq. Ft.)?:	Less than 200 200 to 300 300 to 500 800 to 1200 1200 to 2000 2000 to 3000 3000 to 5000 More than 5000
What Year was the home built?:	Before 1930 1930 to 1959 1960 to 1979 1980 to 1989 1990 to 1999 2000 to Now	How soon are you hoping to start?:	As soon as possible Within 3 months Within 6 months Within One Year
What is any remodeling have you done in the past?:	This is my first Addition Bath Remodel Basement Project Kitchen Remodel Other	At this time do you know what your budget for this project is?:	$80,000 to $120,000 $120,000 to $200,000 $200,000 to $300,000 $300,000 to $500,000 More than $500,000
Additional Comment: