Customer Information Sheet

Contact Us

Date:

Referred By:

Free Text

Customer Information

First Name:

Last Name:

M.I. :

Street Address

City

State

ZIP Code

Home Phone:

Alt. Phone

Email Address:

Free Text

Billing Info:

Free Text

Contact Name [if different from above]:

First

Last

M.I. :

Street Address

City

State

ZIP code

Free Text

For RTO Sales:

DOB:

License#:

Payment Due Day

Preferred Term Length:

Free Text

FOR OFFICE USE ONLY

Date Received:

Customer Number:

Sales Representative:

Approved:

Yes

Free Text

Information Needed For An Accurate Price

What will you be using the building for?

What size(s) are you interested in?

Tell me about where we would be placing it:

Do you prefer a barn style roof with lofts or a 4/12 pitch regular house style roof?

Do you want this building included with an electrical package?

Would you be purchasing it outright or with our no credit check rent-to-own plan?

Would you like any windows?

If so, 2x3, 3x3 or 3x5?

How many?

Are you wanting a barn style wood door, house door or roll-up door?

Free Text

“Let me tell you about our buildings and what sets us apart”:

Model:

Do you have a color preference for the siding?

Trim color:

Roof color:

Notes:

Call Us Inquire

Send Us A Message

Location

Areas We Serve

Jasper, AL
Haleyville, AL
Cullman, AL

Hamilton, AL
Cordova, AL
Phil Campbell, AL

Get in touch with us to make sure that we service your area

256-577-8627

Location

Jasper, Alabama

Business Hours

Mon - Fri: 7:00 am - 7:00 pm
Sat - Sun: Appointment Only