CONTACT HCG Heritage Construction Group Limited 48 Haas Road Toronto, Ontario M9W 3A2 Phone: 416-243-1466 Toll Free: 1-877-245-1466 Fax: 416-243-7153 info@heritageconstruction.ca www.heritageconstruction.ca Request for Estimate or Information First Name: Last Name: Address: Suite or Apt: City: Province: Ontario Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code: Daytime Phone: Evening Phone: Mobile Phone: Best Time to Contact You: Anytime Morning Afternoon Evening Email Address: About Your Project At What Stage is Your Project? Gathering Information Planning and Budgeting Almost Ready to Hire Ready to Hire What is Your Main Concern? Price Quality Appearance Time to Completion Type of Project: Residential Commercial Industrial My Project Is: Major Remodel Minor Remodel Addition Basement Doors and Windows Electrical Interlocking Retaining Wall Porch or Deck Siding and Soffit Stonework Waterproofing Other If "Other", Please Specify Below: Do You Require Design Assistance? Yes No When Will Your Project Begin? Do Not Know Yet Immediately 1 - 2 Weeks 2 - 3 Weeks 3 - 4 Weeks 1 - 3 Months 3 - 6 Months 6 - 12 Months More than 1 year What is Your Budget? Do Not Know Yet Under $1,000 $1,000 - $2,500 $2,500 - $5,000 $5,000 - $10,00 $10,000 - $20,000 $20,000 - $30,000 $30,000 - $40,000 $40,000 - $50,000 $50,000 - $75,000 $75,000 - $100,000 $100,000 - $250,000 More Than $250,000 Please Provide Additional Details Below:

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