BATHROOM DESIGN SELECTION FORM
Customer Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Room Name
TILE SELECTION
Rows
Name
Finish
Size
Layout
Grout
Shower Wall Tile
Shower Floor Tile
Bathroom Floor Tile
Bathroom Wall Tile
Shower Niche Tile
Shower Niche Jam
Shower Curb Jam
Tile Edge
Finish
Thickness
Location
Notes:
SHOWER ACCESSORIES
Put NA if customer will get the item themselves
Rows
Name
Finish
Drain Style
Shower Assembly
Notes:
BATHROOM FIXTURES
Put NA if customer will get the item themselves
Rows
Name
Colour
Vanity
Faucet
Mirror
Vanity Light
Towel Ring
Towel Bar
Shower Hook
Toilet Paper Holder
Toilet
Tub
Free Standing Tub
Free Standing Tub Faucet
Notes:
INTERIOR FINISHES
Put NA if customer will get the item themselves
Rows
Name
Colour
Wall Paint
Baseboard
Aria Vent
Notes:
SIGN OFF
Please sign off on the selections that you have made.
Customer Signature
*
I hereby sign off that the selections made are correct.
Designer Signature
*
Submit
Should be Empty: