GENE HEIL HOMES

                                            Manufactured and Modular Housing  

                    

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                                        Information Request Form

                                         Please fill out the form below and click "submit"

If you experience any problems filling out the form, please email us at

heilinc@windstream.net or call 716-985-4535. 

                                           Thank you.

 

Personal:

First Name     Last Name           

\Mailing Address

City   State     Zip Code

Daytime Telephone              E-mail Address 

Style of Building:              

Size of Building square feet

Number of Bedrooms      Number of Bathrooms

Foundation:

Full Basement    Crawlspace    Piers

Land:

Own land already    Looking for land

Budget:

Land Expense Building Expense (cost of home)

Additional Comments:

                                                        Thank you for your request.

                             We will review your information and contact you in a timely fashion.

                                                               

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