VANART: Welcome Form

Name*

First NameLast Name
Email*
example@example.com
Phone Number
Preferred method of communication:*

CallTextEmailFace to Face or Zoom
Completion Deadline: (if applicable)

MonthDayYear
Date
When (ideally) would you like for work to commence?*
Please list any accessibility needs we should consider:
Paraplegia, Wheelchair user with limited strength in left arm. AND/OR list the power required for medical devices.
Make/Model/Age of Van:*
Or the Misc' vehicle you're converting. If not purchased, please write N/A or "considering: [make/model]".
How to you envision yourself using your new conversion?
Example: Festivals, Camping, Walking Holidays. I always take my BMX and my 3 dogs with me.
Which of these are essential? (tick all that apply - we want to know which are the most important to you)*

Double Bed2 x Double BedsKing Size BedShowerBath TubOvenWashing MachineDishwasherHot WaterFridgeFridge+FreezerExtra Belted Seats
Which of these features would you like to consider including?*

SwingWood BurnerTVDesk SpaceNone/Essentials OnlyRoof RackAwningSkylightFan or ACBike StorageMuddy Boots Cleaning StationBath TubWine rackExternal ShowerDog GateCaptain Seats (swivel)
What is your budget limit:*
Are there any particular materials you'd like to use?
Do you have anything, already purchased, that you'd like installed?
(example: LOGIK LUL55W23 Undercounter Fridge and an A3 framed oil painting)
Do you have an idea of the layout you'd like?
Should be Empty: