FAXQuote in 60 Minutes
or less... (8:30-5:30 PT)
1. Print this form 2.
Complete and fax to: 1-818-735-6778
Principal Operator ____________________________
Date of Birth___________
Street Address ____________________________________________________
City ______________________________ State ______
Zip ________________
Phone ( ______ ) _______________________
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>> Will this be your primary resicence?
>> Is the unit tied down?
>> Does the unit have a fireplace or a wood burning stove?
>> Do you own the land the home is located on?
>> Is the home located in the city?
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Yes No
Yes No
Yes No
Yes No
Yes No |
Name of Mobile Home Park ___________________________________________
Year _________ Length __________ Width ____________
Make/Model _________________________ Purchase
Price: $_______________
Name of your Dealer: ______________________________________________
Your fax number: ( ______ ) ________________
Thank you. Fax this form to 818-735-6778 and you'll receive a quotation
by fax within 60 mintues. Call
today for an immediate quotation... 800-400-0186
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