Residential
Please fill out this form if you are interested in remodeling or adding on to your home.

Name:
Spouse:
Address:
   
City:
State:
Zip:
Home #:
Work #:
Home Information:
Age of Home?
Home Value:
Brick or Siding?
Siding:
Age of Roof:
Windows:
Age of Windows:
Do you have a deck or porch?
Have you considered home additions?
Which additions have you considered? (check all that apply)
Sun Room
Fence
   The Johnson Companies, A.L. Johnson Contracting Company, Bethel Builders, General Contractors, Contracting
Family Room
Deck
Garage
Shed
Pool
Other
   If other please explain:  
  
Remodeling Information:
Have you considered remodeling?
If so, which of the following have you considered? (check all that apply)
Kitchen
Game Room
  
Bathroom
Closet
  
Basement
Other
     
If other please explain:
     
    
Contact Information:
      
Person to speak with?
      
Are you employed?  
     
Where are you employed?
      
Where is spouse employed?
      
Best Time & Day to Call:
      
Comments: