ChesapeakPlease fill out this form completely and submit online.
Also please understand that available areas for dealerships are limited, and that applications are processed in the order received. Therefore, the timeliness of your response is important!

 
First Name:
Last Name:
Address:
City:
 State: Zip:
Our home office hours are weekdays from 10 AM to 5 PM Eastern time. Please indicate where you can be contacted during our business hours.
Home Telephone: Best time to call:
Work Telephone: Best time to call:
Cellular Telephone: Best time to call:
E-mail Address: Fax Number:
1. Date of Birth: (MM/DD/YYYY)
2. Residence: Own/Buying Rent
My primary interest is: A Country Road Log Home for myself A Country Road Log Home Dealership Both
3. Please describe your present employment or business responsibilities:
4. Please describe how you became interested in Country Road Log Homes:
5. Please describe what opportunities you see in your local real estate market for log homes:
6. List the area (State and County) in which you would want to build your home or be a Country Road Log Home dealer:
7. Do you feel there is a money making opportunity in selling affordable homes in your area? Yes No

8.

 Do you understand that you DO NOT need a real estate license to sell Country Road Log Homes? Yes No
9. Do you own property to build on? Yes No
10. How soon do you plan to build a Country Road Log home?
11. Financial Questions - A security deposit is required. This deposit is applied 100% to the first Log Home kit placed in your territory. The deposit is not a Franchise or Royalty Fee.
A. Is the deposit readily available?
Yes No
B. Upon approval of application for dealership would you be ready to accept within 30 days?
Yes No
If no, when would you be ready to accept the dealership?
12. After all the details have been explained to you about Country Road Log Homes... and the benefits of becoming our Dealer... which area or interest would you likely pursue initially?
 
Your personal residence first Resale only Single family homes
As a spec home builder Commercial property Other
13. Would a trip to North Carolina to attend a personal orientation be possible? Yes No
14. Please list two (2) personal references, which may be reached between 10 AM and 5 PM Eastern Time:
Upon approval of this application expect other material by mail.
Reference #1
Name:
Address:
City:
State:
 Zip:
Phone:
Reference #2
Name:
Address:
City:
State:
 Zip:
Phone:
15. Have you thoroughly read all the materials that have been supplied to you? Yes No
Customer Testimonials
Missy Jones
It is my pleasure to recommend Country Road Log Homes as a quality builder of homes. We made the decision to build a log home in the summer and moved into our 3,300 square foot home in April.
If we ever were to build another home - although I can't imagine ever leaving this one - I know that we would call once again on Country Road, and I highly recommend them to anyone else who wants a warm, cozy, beautiful, quality-built home that will be standing long after we are gone. Read More...
Missy Jones