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is a required field Indicate the nature of your inquiry so we can route your message to the appropriate department. Choose one I'm considering buying a home I have a customer service question Is this information for a friend or yourself? Are you a builder or developer? Are you a non-profit organization? First Name: Last Name: E-mail: Address: City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Zip Code: Day Time Phone # : ( ) - Night Time Phone # :    ( ) - Best time to call? : A.M. P.M. Evening       Home Work How long have you been shopping for a home?: Have you visited any manufactured home retailer in the past 3 months? Choose one Yes No How soon are you planning to purchase a manufactured home? Choose one 0 to 3 months 4 to 6 months 7 to 12 months 12+ months Are you relocating?: No Yes - If yes, Where will you relocate? City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Do you have a home to trade?: No Yes Do you own the land on which you will place the home? Choose one Yes, I own my own land No, Park/Other Which payment range are you looking to stay within? Choose one 175-300 301-400 401-500 500+ How would you rate your credit score? Choose one Excellent Good Fair Poor Additional Comments How did you hear about us? AOL Postcard Yahoo MSN Other Person Ask Jeeves Park Flyer Google Community/Park Dealership Click here to receive additional email promotions

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