Initial Information Form - Precision Homes (Australia) Pty Ltd

1. Primary contact person

(available during the week, if questions arise)

First Name(Required)

Last Name(Required)

Mobile Number(Required)

Email Address(Required)

Current Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2. Secondary contact person

First Name(Required)

Last Name(Required)

Mobile Number(Required)

Email Address(Required)

Current Mailing Address(Required)

Same as above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

3. New Building Site Address

Street Number(Required)

Street Name(Required)

Suburb(Required)

4. New Building Site Status

Status(Required)

New/cleared
Existing

Is the dwelling currently occupied?(Required)

Yes
No

Contact Details(Required)

For access to site

5. Building Design Preferences

Storeys

Single Storey
Double/Multi-Storey
Split Level
Unsure

Number of Bedrooms

Number of Bathrooms

Number of Living Areas

1
2
3+

Number of Study/Office Zones

1
2
3+
None Required

Cellar / Wine Room

Yes
No
Unsure

Approx. House Size(Required)

Building Budget $(Required)

6. Where have you seen Precision Homes?

Where have you seen Precision Homes?

Other

7. Confirmation

As you are about to embark on the Design Stage with us, we ask that you acknowledge that all plans or part thereof, remain the copyright and property Precision Homes.

Signature(Required)

Name(Required)

Date(Required)