For more information about any of our products or services,
you may reach us:

Toll Free from anywhere in the Continental US or Canada: (800) 469 - 1750 Voice Fax (888) 893-4039

US Office Phone: (319) 217-2179
Address: 504 North B Street Fairfield, IA 52556-2308

Email: dal@evergreenhomesanddevelopments.com

Please fill out the form below as completely as possible so that we may better serve you.
Any information you submit to us will be held confidential. We will not provide any information to other parties without your consent.

If you just have a simple comment or question, scroll down to the bottom half of the form.
Your Plans	When do you plan to build? -- Choose -- 6 months 1 year 2 years just looking		Do you have plans for your log home? Yes No
	Do you own property for your log home? Yes No		Where do you plan to build? (state & county)
Your Needs	How will you use your log home? -- Choose -- Primary residence Vacation home Commercial		Desired type of floorplan? -- Choose -- Ranch 1 floor + loft 2 story
Design Theme	Handcrafted Manufactured Post & Beam Timber frame Manufactured + handcrafted accents
Space Needs	# of bedrooms -- Choose -- 1 2 3 4 5		# of baths -- Choose -- 1 1 1/2 2 2 1/2 3
	How large? -- Choose -- under 1,000 sq. ft. 1,000+ sq. ft. 2,000+ sq. ft. 3,000+ sq. ft. 4,000+ sq. ft.		Full basement? Yes No
Budget	Log home budget? -- Choose -- under $100,000 $100,000+ $200,000+ $300,000+ $400,000+ $500,000+
Additional Comments
	For future customer access (online quotation and design services)
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State*	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS PR FM GU MH MP PW VI	Zip*
Daytime Phone*		Evening
Subject*	-- Choose -- Comment Question Would like preliminary quote Would like to start design process Other
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