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Contact Details
Leads by Name:
Taken by:
Date Called:
Name: Add/Lookup Client
Email Address:
Alternate Contact:
Contact Phone:
ContactEmail Address:
Property Address:
City: State: Zip:
Sales Info Sent?:

How did you hear about
Burke Construction?:
Angies's ListPrint Advertisement
Home ShowTrucks/Signage
Internet Search Word of Mouth  
Postcard/Direct MailReferral
Existing Customer Other

Project Details
Services: for Project Details below
Project Details:
On a scale of 1 - 5
how ready are you
to begin this project?:
1   2   3   4   5
Estimated Budget:
Would you be interested in financing?: Yes   No

Assigned Sales Person:
Appointment Date OR Follow Up Reminder
Date:   Time: :