Mail to:
Wilcox Design & Builders
P.O. Box 142
Jackson, OH 45640
Customer Information:
Name: ________________________________________________  Phone # _________________
Address: _______________________________________________________________________
City: _______________________________________  State: __________  Zip: _______________
Email: ________________________________________________
Please fill in the blanks below using the appropriate information from our website.
House Plan #
Price for this set of house or apartment plans
Add 2 sets of blueprints ($30.00)
Add 5 sets of blueprints ($75.00)
- or -
Total Cost (add items above)
Payment Information:
Make out check, money order or cashier's check to:   MARK WILCOX
Mail payment along with this form to the address shown at the top of the page.
Note: Please allow sufficient time for check to clear before order is filled.