Design In A Box® - Profile Form

Profile Form

CLIENT NAME *

PHONE NUMBER: *

EMAIL: *

SHIPPING ADDRESS: Street Address 1 *

Street Address 2

City, Zip Code *

State, Country *

SIZE OF ROOM *

What style is your current home/space?

Please give any additional comments about your space that might be helpful

What year was the house built?

Room to be designed

What are your favourite design magazines?

What is the overall goal for the new design of your space?

What colours would you like to see in this room?

What is your profession?

ARE THERE ANY CHALLENGES THAT THIS ROOM MAY NEED TO HANDLE LIKE:

Will young children be using this space?

Pets?

Are there special lighting needs?

Does the space have any other challenges?

Do you have a budget that you would like to work within?

Is there anything in or about the current space that has to stay or remain the same?

Please tell me a little bit about who you are and/or who you want to be and what you are all about.

PLEASE INCLUDE ANY PICTURES, WEBSITES, FAVORITE MATERIALS AND STYLES THAT MIGHT BE HELPFUL FOR THE DESIGN OF THIS SPACE

Please note that after submitting the application you will be taken to the checkout page