Office 461 Elliot Road East Greenbush, New York 12061 Phone 518-689-0066 Fax 518-689-0067 Staff Michael P. Roarke, CGR President 518-689-0066, ext 10 John Raucci Project Cost Manager 518-785-4545 jraucci@roarkecustombuilders.com Carol Sanford Business Manager 518-689-0066, ext 12 csanford@roarkecustombuilders.com Contact Form * First Name: * Last Name: Street Address: City: State: Please Select AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code: ** Email: * Phone (daytime): * Phone (evening): Best time to reach you: Best number to use: Daytime       Evening How did you come to contact us: Please Select Professional Reference Friend Roarke Employee Job Site/Vehicle Sign Website/Internet Chamber of Commerce Builders Association Print Ads Other Have you ever built a new home or remodeled an existing one: Yes       No If yes, what did you do and how was the experience: What is the style and age of your home: How long have you been in your home: * What type of work would you like to have done: Do you have architectural or interior design plans: Yes       No If yes, please let us know your design professional: Are you interested in a Design/Build package: Yes       No Have you contacted any other builders: Yes       No If yes, which companies: What is your estimated budget range: Please Select $10,000 to $20,000 $20,000 to $50,000 $50,000 to $100,000 $100,000 to $150,000 $150,000 to $250,000 $250,000 to $500,000 $500,000 to $750,000 $750,000 + How long have you been considering this project: When would you like your project to start: Please Select ASAP 30 to 60 days 60 to 90 days Flexible Any additional questions/concerns: * required fields ** valid email address required          (return to top of page) Roarke Custom Builders, Inc • 461 Elliot Road • East Greenbush • New York • 12061 phone: 518-689-0066 • fax: 518-689-0067 • email: info@roarkecustombuilders.com