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* 1. First Name?

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* 2. Last Name?

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* 3. Contact Details?

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* 4. Which region would you like to host a tiny house?

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* 5. What is the proposed address for the tiny house?

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* 6. What is the closest city to that address?

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* 7. How many hours drive are you from that city?

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* 8. When are you ready to receive a tiny house?

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* 9. What are you interested in?

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* 10. How large is your property (in acres)

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* 11. How did you hear about us?

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