Name *

First Name

Last Name

Phone: Please list the best phone number to reach you for a Discovery Call. *

(###)

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Project Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

On a Scale of 1-3, How much do you want to be involved in the process? *

1: Not much, I trust that you are the exert & I take direction well.

2: I have som ideas & want to be somewhat involved.

3: I want to be very involved as I have definite ideas.

On a scale from 1-3, how important is quality when selecting your furnishings? *

1: Not at all important, Price is my main concern.

2: Somewhat important, I'm more interested in getting good value.

3: Very Important, I'm interested in high quality furnishings that are stylish & durable.

Are you planning to purchase custom products through our firm or try to shop on your own? *

Purchase through your firm.

Shop on my own.

A little of both.

Anticipated Start Date *

MM

DD

YYYY

Is there a specific date in mind you'd like to have yor project completed by?

MM

DD

YYYY