New Customer Registration Form
Customer Details:
Full Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address of the project
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
How did you hear about us?
*
Please Select
Social Media
Word Of Mouth
Magazine
Other
Please Specify
*
What is your budget, and please tell me about your project:
Will you be hiring your own contractors or would you like me to hire subcontractors?
Yes
No
Will you be hiring your own contractors or would you like me to hire subcontractors?
Yes
No
Which word(s) best describes your decision making style?
"I tend to make decisions spontaneously and on a whim."
"I have a hard time making up my mind and often go back and forth."
"I don't want to make any decisions. I trust your design style."
"I can easily make a decision when I have enough information."
"I get easily overwhelmed when presented with a lot of information."
If I agree to manage the project, what expectations will you have of me?
How involved do you see yourself in the design process?
When would you like this project to start?
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Month
-
Day
Year
Date
When would you like for this project to be completed?
-
Month
-
Day
Year
Date
Submit
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