Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred form of contact (select ALL that apply) *

Call

Text

Email

Project Location *

Select ALL that apply

Kitchen

Pantry

Dining Room

Living Room

Powder Bath

Laundry Room

Home Office

Master Bedroom

Master Bathroom

Guest Bedroom(s)

Guest Bathroom(s)

Nursery

Home Gym

Game Room

Other

Preferred Start Date of Project *

MM

DD

YYYY

Design Budget

Budge for your entire DESIGN project (ex. furniture, decor, wallpaper)

$1,000-$5,000

$5,000-$7,000

$7,000-$10,000

$10,000-$15,000

over $15,000

What colors are you drawn to? *

Select ALL that apply.

Neutrals

Darks

Bright and Bold

Warm colors

Cool colors

What metal finishes are you drawn to? *

Select ALL that apply

Silver

Bronze

Gold

Brass

Chrome