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*First Name:   *Last Name:

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*Which Rooms Are You Looking to Work On: Living RoomDining RoomKitchenFoyerPowder RoomFamily RoomMaster BedroomMaster BathYouth BedroomTeen BedroomNurseySun RoomHome OfficePlay Room

*What Is Your Décor Style: Modern/ContemporaryTraditionalTransitionalIndustrialFarmhouseVintageAsianMid-CenturyOld WorldFrench Provincialor not exactly sure?

*What Colors Are You Drawn To: Warm Tones (red, brown, gold, yellow & orange)Cool Tones (blue, green, silver, grey & purple)Neutral (white, off white & monochromatic)

*Are You Looking For A More: Formal DesignCasual DesignComfortable/Relaxed DesignFamily Friendly Design

*Do You Like Patterns: YesNoLargeSmallSpecific Types
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Do you have a: Houzz Account     Pinterest Account

*What Is Your Overall Project Budget:

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*I Want To Order Design Package(s): Color Consultation – $50 OFF! - Was:$295.00 Now:$245.00 - Up to 4 Rooms with 3 colorsRoom Design Package #1 – $50 OFF! - Was:$395.00 Now: $345.00 - Foyer / Entry or Powder Room or Hall Bath or Master BathRoom Design Package #2 – $50 OFF! - Was:$495.00 Now:$445.00 - Kitchen or Mudroom or Sun Room or PlayroomRoom Design Package #3 – $50 OFF! - Was:$695.00 Now:$645.00 - Master Bedroom or Teen Bedroom or Nursery or Home OfficeRoom Design Package #4 – $50 OFF! - Was:$795.00 Now:$745.00 - Living Room or Dining Room or Family Room or Basement


*I have read and agree with Terms and Conditions

*E – Design Client Signature (Initials Only):   *Date (in format YYYY-MM-DD):