Custom Painting Request Intake

Nadia Lloyd - Custom painting request form
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MonthDayYear
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Browse www.nadialloyd.com and tell me which three pieces are your favorite.*
What do you LOVE about them?*
What size piece would you like to commission?*
If multiple canvasses apply, please specify:*

234N/A
What is your budget?*
This piece will live in:*

A living roomBedroomKitchenWashroomHallwayFoyerOther
Please provide the wall dimension, and if it is going above a bed or couch, provide the furniture dimensions as well. N/A if not applicable*
Upload a picture of the room/wall here. Please make it a wide angle shot.*

Upload a File

Cancelof
What is your ideal color combo? Pick your top 3. You can include B&W . N/A if not applicable*
My prefered base is black and white. Is that what you have in mind?

YesNo
If no, please explain:
You give me creative freedom to use:*

Acrylic paintLatex PaintOil paintMarkersSpray PaintYou are giving Nadia creative freedom to choose
It is a pleasure to paint for you and in turn help you materialize your vision.

Please note a 50% deposit is due at the beginning of the project and balance due upon delivery.

Thank you!

NADIA
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Nadia Lloyd - Custom painting request form