Design Consultation Form

Name

First NameLast Name

Project Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Appointment

Phone Number

Area CodePhone Number

Email Address: *

Possible day to have a Consult:

Please note that all consults take place on weekends. If weekend dates are not a good fit please send us a note and well work it out.

Phone Number:

Project Type:*

Project Timeline:*

3-6 months3-9 months12 monthsNo Rush

What is your total Furnishing Budget?*

Less than $5,000$5,000 - $10,000$10,000 - $15,000$15,000 +

Does your budget include design services? *

Project Size:*

Do you shop for home Decor/ furniture yourself? If so please select any of the following that apply:

Please list the rooms that you are interested in modifying: *

Please feel free to list any rooms or modifications in brief for your project.

Do you have any questions for me ?

Feel free to ask away!

How did you hear about us?*

Please submit all cancellations via email or phone at least one day before consult.