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Georgiou & Associates Architects Request Information Form.

First Name:*
Last Name:*
Company Name*

Address:*

City:*
State:*
Zip:*
Daytime Phone:*
Home Phone:
E-mail Address:*
Total Estimated Construction Budget (Excluding Land Cost)*
Building Location:*
Type of Building:*
Check if Apply:
Need Land Budget Established
Have Land  
Time Frame:
4 - 6 months Over 12 Months
6 - 12 months  
How did you find us?
Internet Driveby Yellow Pages
Referral Other  
When may we call you?
9 a.m. - 12 p.m. 12 p.m. - 5 p.m.
5 p.m. - 8 p.m.  
Comments and Additional Information: