QUICK Contact – Next Gen Living Homes

Name*
First Last
Company Name*
Please provide a Mobile number*
Landline Phone number*
Email*
Enter Email Confirm Email

Please Use your Business Email Address: Sorry We will not respond to public email accounts as they are filtered by a 3rd party: No Hotmail.com, Live.com, outlook.com, aol.com, prodigy.net att.net or msn.com email accounts Please use your company email or gmail.com or protonmail.com
Company Web site*

If you have several Web sites please post them below in the comments section. Thank You
As a CEO or Business Owner please provide your Profile link

If you have an article link that will work as well
Your Linkedin or Facebook Profile link

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Your Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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How much knowledge of Bitcoin do you have?*
- I'm New to Bitcoin
- I have a basic knowledge of Bitcoin
- I have an average understanding of Bitcoin
- I use Bitcoin on a regular basis
- I'm a Bitcoin Investor
- I'm a Bitcoin & Crypto Trader
When did you first buy Bitcoins?*

This question is to establish your understanding of Bitcoins

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Do you have Land where you want your home built?*
- Yes I already have the Land
- No I don't have the Land
- I will need a Real Estate Agent to assist in finding a property
Which City and State do you want your home Built?*

If you have more than one location list them all
When is your anticipated purchase?*
What is your source of your funds for the purchase of a Bitcoin House?*

If you are not a buyer then just copy and paste: NOT A BUYER
Who Referred you or How did you find us?*

If from a Press Release who was the Media Contact seen at the bottom of the Press Release.