Name:           
Company Name:           
Mailing Address:               
Physical Address:                       
City:           
State:                       AL AK AS 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 RI SC SD TN TX UT VT VA WA WV WI WY
Zip:                         
Phone:            
Company Phone:             
Email:           
Website:    

       
Are You Currently a Log Home Dealer:         Yes No
How Many Years:        0 1 2 3 4 5 6 7 8 9 10+
Are You Currently a Log Home Builder:         Yes No
How Many Years:        0 1 2 3 4 5 6 7 8 9 10+

If None of the Above, Briefly Explain Your Marketing Plan:

Will You Have a Store Front:   

Yes No How Do You Plan to Generate Sales:

 
Will Your Company Install the Log Components:     

    Yes No
Do You Have Contractors In Your Area to Install the Log Components:    

Yes No
What is the General Topography of Your Area:

 
How Many Log Home/Siding Dealers Will You Compete With in Your Area:

General Comments: