Informational Form for Proposal Generation Services Requested* Consulting Plan Review Inspection Product Listing Product Testing Contact Information for the ProposalCompany Name Contact Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email Address* Phone Number*For Product Listing and Lab TestingWhich Tests are you seeking? What types of Products?For Industrialized BuildingsAre you a current Manufacturer? Yes No If Yes, current Plant Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code If No: Are you a Single Unit Client? Yes No Do you have plans to become a Manufacturer? Yes No States for which you intend to build, or need plan approvalAll StatesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingIf California, do you already have a CA HCD ID Number? Yes No If Yes, please enter the HCD ID number If California, which program will you use? Commercial Modular Factory Built Housing SPCM (e.g. Food Trucks) Components Alternate Construction Intended Production Rate(Units per day/week/month) Number of Production Line Stations Estimated Production Start Date MM slash DD slash YYYY Billing ContactsBilling Contact Name Same as Above Billing Contact Name First Last Billing Contact Address Same as Above Billing Contact Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Billing Contact Phone Same as Above Billing Contact PhoneBilling Contact Email Same as Above Billing Contact Email Will you be paying the Deposit by ACH Check Credit Card CommentsThis field is for validation purposes and should be left unchanged. Δ
