Customer Registration Form

Full Name* This field is required.

First Name

Last Name

E-mail* This field is required.

Phone Number* This field is required.

Area Code

Phone Number

Job Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

Current Addressif different than Job Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Project Type* This field is required.

Remodel

New Construction

Storm Damage

Scope of Work* This field is required.Check all that apply

Whole House

Kitchen

Bath

Other

Did you receive a preferred access code from your Contractor, Interior Designer or Architect?If so, type it below. If not, leave blank.

Do you have a Contractor?* This field is required.If yes, type in contractor name below. If no, type "not yet". (We do require one)

Contractor Name

Do you have an Architect / Interior Designer?* This field is required.If yes, type name below. If no, type "none".

Name

How did you hear about us?* This field is required.

Contractor

Google

Interior Designer

Social Media

Other

Timeline* This field is required.What is your desired completion date?

Floor PlansIf you have current floor plans of the space you can upload them here. This will speed up the process of your project and will allow our designers to prepare to meet with you.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Customer Registration Form