KITCHEN DESIGN SELECTION FORM
Customer Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
TILE SELECTION
Put NA if not applicable.
Rows
Name
Finish
Size
Layout
Grout
Kitchen Backsplash Tile #1
Kitchen Backsplash Tile #2
Kitchen Floor Tile
Tile Edge
Finish
Thickness
Location
Countertop
Name
Colour
KITCHEN ACCESSORIES
Put NA if customer will get the item themselves
Rows
Name
Finish
Sink
Kitchen Faucet
Cabinet Handles
Lighting (eg. potlight, gimbal)
Notes:
INTERIOR FINISHES
Put NA if customer will get the item themselves
Rows
Name
Colour
Wall Paint
Baseboard
Aria Vent
Top Cabinets Paint Colour
Bottom Cabinets Paint Colour
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: