Lynn Gouwens
President
219-405-0394
Tom Lockton
Commercial Manager
219-406-1727
Client Request Form
Contact Information
Name
*
Correct Construction
6610 Melton Road
P.O. Box 400
Portage, IN 46368
800.726.7473 - Toll Free
219.763.1177 - Office
219.762.7062 - Fax
info@correctconstruction.com
Company Name
Address
*
City
*
State
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone
*
Fax
Email
*
Website
Client Request Comments
