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We're located at 994 Charlotte Hwy, Suite E Fairview, NC 28730
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(828) 888-0327
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[email protected]
New Site Evaluation
Request Form
New Site Evaluation Request Form
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New Site Evaluation Request Form
New Site Evaluation Request Form
Fields marked with an asterisk (*) are required.
Site Eval Request Date:*
SE $$ (Y or N):*
Salesperson Name:*
Home Pickup Address:*
Home Model/Description - include tongue location(front or back):*
Serial Number/New/Undecided:*
Home Width:*
Home Length:*
Home Height:*
# Doors:*
Shipping Weight:*
Permit Number:
Customer First Name:*
Customer Last Name:*
Customer Contact Phone:*
Full Site Address:*
Install Requested Timeline:*
Directions to Site from Sales Center:*
Home Sale Status:*
Access Desc and Improvements Needed?:*
Site Description and Work Needed?:*
Web Submission Notes:
