COMMERCIAL
ORDER FORM
Who are you?
*
Building Owner
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?
*
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?
*
Building Owner
Remodeler / Contractor
Realtor
Other
Project Information
Address (if known)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Brief Overview of your Project:
*
Approximate Square Footage of your Project
Please give us an approximate square footage of the finished space and unfinished space. Ball park estimates are completely acceptable.
Above Grade / Finished Sq Ft:
*
If not applicable, please write N/A
Below Grade (Finished Basement)
*
If not applicable, please write N/A
Unfinished Sq Ft
*
If not applicable, please write N/A
Project Sketches / Inspiration:
Browse Files
Drag and drop files here
Choose a file
We suggest sending inspiration prior to your Initial Design Meeting. Inspiration can consist of photos / images from Pinterest, Mood Boards, etc. This can also consist of a sketched floor plan. Please provide as much as you can or email to Brittany (b.reinwald@virtuactive.com)
Cancel
of
Additional Information:
Please let us know if there is anything specific you would like us to know regarding this project.
Save
Submit
Should be Empty: