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I would like a Tiny Home
If you are interested in being provided a tiny home, please fill out the following form. No answer to the questions is disqualifying meaning please be truthful.
Also go to the following link for the most up to date information regarding the program.
www.TinyVillages.Org
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* Indicates required question
Name
*
Your answer
Phone number: if you would like text notifications
Your answer
Email Address
Your answer
How old are you?
*
Under 18
18-64
65 +
Are you a United States Citizen
?
*
Yes
No
I don't know
DO you have any of the following documents?
*
State ID
Birth Certificate
Social Security Card
None of the Above
Required
Are you currently receiving Government assistance? i.e. SNAP, WIX, Medicaid, Medicare, SSI, SSDI, etc.
*
Yes
No
Other:
If the Tiny Home was less than $80,000, how would you like to pay for it? (Select all that apply).
*
Finance
Cash payment
Assistance Program
Unsure
Other:
Required
Do you currently own land for a tiny home?
*
Yes
No
Maybe
Other:
I confirm I want to receive content from this company using all contact information provided above.
*
Agree
Required
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