Community InformationCommunity NameCommunity Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Community Contact #1 First Last When ordering a la carte items, this person will be the addressee.PhoneEmail Community Contact #2 First Last PhoneEmail Order InformationCheck off the option(s) you would like to order. When ordering a model kit please provide one request form per unit. Below model kits are turnkey and will be delivered and installed. Pricing does not include sales tax.Studio Model Kit $12,000 Blue Accessory Package Green Accessory Package One Bedroom Model Kit $15,000 Blue Accessory Package Green Accessory Package Villa Model Kit $25,000 Blue Accessory Package Green Accessory Package Below a la carte items are drop ship and the community is responsible to receive and setup. If you would like white glove delivery and set up please check the appropriate box below and add to your total. Pricing does not include sales tax.Accessory Package Blue AL $4,000Accessory Package Green AL $4,000Accessory Package Blue MC $3,600Accessory Package Green MC $3,600Accessory Package Blue Skilled Nursing $3,000Accessory Package Green Skilled Nursing $3,000Upholstered Arm Chair $500Small Accent Table $180Three Drawer Chest $180Full Bed $1,200 (includes bed & bedding)Twin Bedding Set - Blue $200Twin Bedding Set - Green $200Full Bedding Set - Blue $300Full Bedding Set - Green $300Add-on service of consolidated delivery and designer staging $1,500 Add-on service of consolidated delivery and designer staging $1,500 Model Kit Delivery InformationApartment Number(s)Is the apartment(s) move-in ready? Yes No If no, when will the apartment(s) be move-in ready? MM slash DD slash YYYY Is there a sales plan for the unit(s)? Yes No Attach sales planMax. file size: 256 MB. Does the community have a service elevator? Yes No Do we need to reserve the elevator for delivery? Yes No Is the apartment easily accessible? Yes No Please explain:Please let us know any additional information:
