1. Name:______________________________________________
2. Email:______________________________________________
3. Contact:____________________________________________

4. What room(s)would you like to have designed?
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5. How would you describe your style?
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6. What is the use of the room?
(ie: TV room for family lounging, formal dining, game room etc.)
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7. What are the colors you would like to see used in the space?
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Colors you do NOT want used:_______________________
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8. Do you have any items you would like to keep and
use in the space?
(Please provide photos and dimensions of each piece)
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9. Please provide a budget for the space(s)
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10. Please provide dimensions of the Space/Room:
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