* Indicates Required Fields

* First Name:

* Last Name:

*Street Address:

* City:

* State/Province:

* Country:

* Zip Code:

*Phone:

Email:

Sales Rep:

* What are the names and relationship to the people or pets residing in your new house?

* Are you retired?

* What is or was
your primary
occupation?

* Where is your
new home?

* Where did you
live prior to
your new home?

* Is your new home your primary or secondary home?

* Which came first, your homes location or design?

What features does your lot have that you consider valuable?

What are your favorite pastimes or features in your new homes locality?

* What factors led
to your decision to
go with a log home?

* What were the
deciding factors for
buying from Coventry?

* What kind of
experience did you
have with Coventry?

* What were some
things you might have
done differently with
the design if any?

* Did you choose a standard or custom floor plan?

What are some of
the ways and why
did you customize
your floor plan?

What if any collectibles
do you have showcased
in your new home and
how are they displayed?

* Did you have a builder?

How did you
choose your
builder?

What was your
experience with
your builder?

* Was there any part of the construction process that
you pitched in on and saved for yourself to do?

If so, what
part/s was that?

Was that an enjoyable experience?

Elaborate

Did you build your new home yourself?

Did you get help,
if so what parts?

What was your
building experience
like?

What were some things
you might have done
differently regarding
the building process?

* Did you or your builder consult with Coventry tech support?

On What?

What was your
experience like?

What is your favorite room and why?

List the things that please you the most about your new home?

I hereby grant to Coventry Log Homes, Inc. and their respective licensees, successors and assigns, the right and permission, with respect to those photographs taken of me, my home, or the minor/s named below on whose behalf I am signing, and with respect to any printed matter in connection therewith, to do the following: To include such photographs in all media, and in the advertising, publicity, and promotion of Coventry Log Homes, Inc. To use my name, or the name of the minor/s on whose behalf I am signing, in connection with the foregoing. I hereby release, discharge and agree to indemnify and hold harmless, Coventry Log Homes, Inc. and their respective heirs, legal representatives, licensees, successor and assigns, from all claims and demands whatsoever arising out of or in connection with the foregoing, and waive any right to inspect or approve the same.

Type Your Full Name:

I hereby certify that I am the [parent and/or guardian] of a minor/s under the age of eighteen years, and hereby consent on behalf of said minor to the use of any of the photographs taken of said minor pursuant to the terms set forth in this Photographic Release, including, without limitation, the release, discharge and hold harmless provisions thereof.

Name of Minor

Name of Parent or Guardian Authorizing Permission

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