AMEREICORP, INC
HOME DESIGN REQUIREMENTS
      First, give us some information about you - we will not share this information with anyone.

    * Required Fields

 
My contact information:    
  First Name:*        

  Last Name:*         

  Email Address:*  

  Address Line 1:   

  Address Line 2:   

  City:                     

  State/Province:    

  Country:               

  Day Time Phone:*

  Evening Phone:    

  Fax#:                    

  Mobile Phone:     

  Business Phone:   


 


  Please fill in the information below with your best estimates:

  What is your timeframe for completing this Project? Give us an approximate target Date.

My Best Estimates:
  Month:    Year:

  General Requirements for your Home:    Foundation:

  Approximate Size:

  Number of Bed Rooms:    Number of Bath Rooms:

  Style:    Model:


Location of Property:  
  If you already have a lot in Tellico Village or the Tellico Lake Area Please provide us with the lot and Block number, Street Name and area located.

  Lot#:    Block#:    Street Name:    Area Locatedie; Tanasi Greens, Toqua Point etc...


Priorities within my home:
  Living Area Priorities:
  Please rate in order of priority, with 1 being the most important and 2 being the second important and so on. List all special requirements.

 The Most Important Area Of My Home Is:

  ROOM                          RATING              SPECIAL REQUIREMENTS
  Kitchen:                                 

  Living Room:                         

  Great Room:                          

  Family Room:                        

  Media Room:                         

  Master Bed Room:                

  Secondary Bed Rooms:         

  Patio:                                     

  Deck:                                     

  Front Yard:                            

  Back Yard:                             

  Garage:                                  

  Other:                                    

  Other:                                    

  Other:                                    

 


The most important factors in the design of my home Is:
  ITEM                         RATING         SPECIAL REQUIREMENTS

  Style:                                    

  Functionality:                       

  Accessibility:                       

  Energy Efficiency:                

  Low Maintenance:                

  Security:                               

  Other:                                    

  Other:                                    


Special Requirements In My Home:
  ITEM                           SPECIAL REQUIREMENTS

  Wheelchair Access:      

  Sight Limitations:          

  Ambulatory Limitations:

  Reach Limitations:        

  Special Equipment:       

  Other:                            

  Other:                            

  Other:                            


    ADDITIONAL NOTES:
   
   

                                                                                            
   
    If you have any questions call AMEREICORP, INC. (865) 408-9988