Manufactured Design Order

Type of Design (Please check all that apply): *

Revision to Previous Order Existing Home State Set Foundation Design (Not FHA) FHA Foundation Design & Engineering Certification Letter USDA

Customer/Homeowner Name: *

Property Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

County/Parish: *

Is this your company's first time working with RCS Enterprises? *

Yes No

Thank you for choosing to do business with RCS Enterprises! We are excited to start working with your company. Please fill out the additional fields so we can get some more information about your company.

Company Name *

Primary Contact *

First Name Last Name

How long has the company been operational under this name? *

Company Address (where orders are mailed) *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Company Phone Number *

Company Fax Number

Cell/Alternate Phone Number

Email Address *

Alternate Email Address

Company Name & Lot # *

Invoice To: *

PO#:

Ordered by: *

Phone Number *

Fax Number

Email Address *

Alternate Email Address

Receipt Preferences: *

E-mail Fax Paper Drawings ($10/set)

How many? *

Site Prep/Pad (canot be homeowner):

Phone Number

Foundation:

Phone Number

Name of Manufacturer: *

Box Size: *

Model Name/Number: *

Serial Number:

Home Design Rating (if Coastal): *

Dimensions: *

Walls: *

Off-set? (one end longer than other) *

Home Size? *

Porch included? *

Porch Size? *

Is this property located in a 100 year floodplain? *

Yes No

Please attach elevation certificate: *

Foundation Type: *

What type of standard concrete foundation? *

Cross-Runners E-T-E Runners Piers Slab

With a Perimeter? *

What type of elevated foundation? *

Concrete Piers Pilings

Desired Finished Floor Height ABOVE Grade (ft.): *

Pier Type: *

What other type of foundation? *

Retro-Fit Insulated Skirting

Please Provide any Additional Instructions:

Please attach a floor plan for this foundation design:

Manufactured Design Order

Customer Information

Builder Information

Contractor Information

Manufactured Home Information

Foundation Information