BASEMENT | ADDITION | REMODEL
ORDER FORM
Who are you?
*
Homeowner
Remodeler / Contractor
Realtor
Other
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How did you hear about us?
*
Social Media
Referral
Google
Other
Name / Company who referred you:
*
Where did you find us on Social Media?
*
Facebook
Instagram
LinkedIn
Other
Are you a new contractor / remodeler with VirtuActive?
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Yes
No
What brokerage are you associated with?
Company Name:
*
Do you have a contractor / remodeler?
*
Yes
No
Contractor / Remodeler Name:
Do you have a client attached to this project?
Yes
No
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Responsible Billing Party?
*
Homeowner
Remodeler / Contractor
Realtor
Other
Project Information
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Footprint Changes:
*
All changes are happening INSIDE the existing "shell" of the home (remodel or basement finish)
All changes are happening OUTSIDE of the existing "shell" of the homes (addition, outbuilding, pool house, etc.)
Changes are happening inside AND outside of the existing "shell" of the home (addition and remodel)
Structural Changes:
*
Major structural changes will occur (moving stairs, beams / load bearing walls being altered, roof altered, foundation changes, etc.)
Minor structural changes will occur (some load bearing walls may be moving but overall, the structural changes should be minimal)
No structural changes will occur (all requested changes are only affecting non-structural rooms)
Other
Tell Us More About Your Project:
*
I have a clear vision for my project
I have a very basic idea but need VirtuActive's design input
Brief Overview of your Project:
*
Please give us a brief overview of your project and which rooms will be altered. (Example: kitchen needs 2 walls removed, master bathroom needs to be refigured, etc.)
Approximate Square Footage of your Project
Please give us an approximate square footage of the rooms / spaces that are being altered. Ball park estimates are completely acceptable.
Above Grade (Main and/or Upper Floor)
*
If not applicable, please write N/A
Below Grade (Finished Basement)
*
If not applicable, please write N/A
Garage / Outbuilding / Pool House
*
If not applicable, please write N/A
Project Inspiration / Guidance:
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We suggest sending inspiration prior to your Initial Design Meeting. Inspiration can consist of photos / images from Houzz, Pinterest, Mood Boards, etc. Please provide as much inspiration as you can or email to Brittany (b.reinwald@virtuactive.com)
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Photos of Current Space:
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Please provide as many photos of the current space as possible or email to Brittany (b.reinwald@virtuactive.com)
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Additional Information:
Please let us know if there is anything specific you would like us to know regarding this project.
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