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Property Information

Do you own property? Yes    No    

If yes, what is the location? Brevard County    Other County 

What subdivision is it located in?

Acreage:

How soon would you like to begin building? Select one Now 1-3 Months 4-6 Months 10-12 Months

Do you have building plans? Yes    No    

Number of stories:

Number of bedrooms:

Number of bathrooms:

Approximate square footage: Select one 1801-2000 2001-2500 2501-3000 over 3001

Have you been pre-qualified by a bank? Yes    No 

Check any of the following options that you would like:

Please specify the best time to reach you to schedule an appointment to discuss your building needs and dreams.

Best day to call: Select one Monday Tuesday Wednesday Thursday Friday Saturday Sunday    
Best time: Select one Morning: 9:00am to 12:00pm Afternoon: 12:00pm to 5:00pm Evening: 5:00pm to 8:00pm After 8:00pm

Mailing Address:  1170 Hwy A1A Suite #1  | Satellite Beach, FL 32937
Sales:  321-779-9696         FAX:  321-779-9101

SUBMISSION OF THIS ONLINE FORM AUTHORIZES AGENT FROM HELP~YOU~BUILD OF AMERICA TO CONTACT YOU IN ORDER TO VERIFY YOUR INFORMATION.

Thank You For Your Submission

Steven Anderson    Linda Reel   

Dionisio (Dion) Campbell   Terry Jo Anderson

Your Design and Build Team