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Project Registration Form

First Name *

Last Name *

Job Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Residential Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Check if:

Residential Address is same as Job Address

Phone *

Best time to contact you: *

Morning
Afternoon
Evening

Number of Room Projects *

List all projects by room *

Estimated Budget *

Desired Timeline (#Days or Weeks) *

Which Works Best *

Weekends
Weekdays

Does furniture have to be moved *

Yes
No

If yes, Please detail out ALL items:

**Any Expensive Or Valuable Items Should Be Removed From Each Project Room For Security And Safety Measures Prior To Start

Checking this box constitutes your electronic signature. *

I understand and will abide by the statement above.

Date *

Name