Contact Us Form

Your Details
First Name*
Surname*
Postal Address*
Suburb / Town*
State*	Select... QLD NSW VIC TAS WA NT ACT SA
Post Code*
Phone Number*
Email*
Design Information
Design Series Interested in*	Ascot Attunga Barambah Carpentaria Condamine Dawson Diamantina Georgina Hamilton Leichhardt Mitchell Queenslander Ranger Ridgewood All
Bedrooms	Please Select 1 bed 2 bed 3 bed 4 bed 5 bed 6 bed more
Would you like Main bed separated from other beds	Yes No
Bathrooms	Please Select 1 bath 2 bath 3 bath 4 bath more
Formal Living	Yes No
Formal Dining	Yes No
Laundry	Please Select in cupboard standard size large
Media Room	Yes No
Rumpus	Yes No
Storage – would you like generous storage areas	Yes No
Furniture – do you have specific furniture you would like to ensure the design accommodates	Yes No
Other Assets – Do you plan to include	pool retaining walls shed
Finishes, in general would you like	Please Select traditional contemporary combination
Energy Efficiency, I would like	Please Select The most energy efficient Enough to satisfy the code
I will be ready to build	Please Select Immediately 3 months 6 months over 12 months
Your Estimated Budget*	Please select $200-$250k $251-$300k $301-$400k $401-$500k $501-$600k $601-$800k $801k plus I will inform you later
Land Information
Where is your land (within 40 kms radius)*	Please select No land yet Brisbane QLD Beaudesert QLD Caboolture QLD Cairns QLD Ipswich QLD Gold Coast QLD Mackay QLD Maryborough QLD Rockhampton QLD Sunshine Coast QLD Toowoomba QLD Townsville QLD Western QLD Other Area of QLD Coffs Harbour NSW Lismore Newcastle Port Macquarie Sydney Western NSW Wollongong Other Area of NSW NSW NT VIC SA TAS WA
What size is your land*	Please select Up to 405m2 406-800m2 801-1500m2 1501-4000m2 Acreage
My land has the best view / aspect to the	Please Select front rear all round house other
My land is	Please Select flat sloping towards road sloping away from road other
Response Information
How did you find us*	Please select Don't Remember Build Home Magazine Courier Mail Display Village Friend Gold Coast Bulletin Local free paper Previous Garth Chapman client QLD Country Life Yellow Pages Yellow Pages Online Web Search
If via Web search, which search engine*	Please select google yahoo live other
I would like to be contacted by a Garth Chapman team member by*	Please select phone email
Preferred Contact Time*	Please select Any Time after 7am and before 8pm afternoon, After 6pm
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