Healthcare Facility Makeover Contest Submission Form
Submit your “before” space for a chance to win a $5,000 makeover in Construction Specialties (CS) products and design assistance.
Name
*
First Name
Last Name
Title
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Facility
*
"Before" Image File Upload (Multiple images, JPEG or PNG format)
*
Browse Files
Drag and drop files here
Choose a file
Wide shots that clearly show the condition and use of the space
Cancel
of
Project Description (250 Words Max)
*
What is this space currently used for? Why does it need renovation?
0/250
Submit
Should be Empty: