First Name Last Name Date Street Address City/Town Postal Code Home Phone Number Work/Daytime phone number Cell phone number Email How did you hear about us? Tell us what you're interested in: (Check boxes that apply) Restoration Basement renovation Complete renovation Flooring Lighting Bathroom Sinks, shower, tub Vanities & counter top Kitchen Painting Tell us about your home: Single detached house Duplex/multiplex Condo Type of build: New construction/building Flood damage Other Please tell us what other particulars your job will include (if any): (check boxes that apply) Recreation room Cabinets fixtures Shelving Hardwood trim Regular trim Windows Exterior doors Deck Fence Pergolas Flooring type (if applicable): Tile Carpet Hardwood Lino Vinyl Combination Additional information about your project: Please describe your style (modern, traditional etc.): What is your budget? $1-5000 $5-20,000 $20-50,000 $50-100,000 $100,000+ ?Please select the closest budget estimate How do you want to use your new area: Entertaining Retreat/Oasis area Playing/Children's area Storage Combination Do you have existing drawings or pictures? Yes No Are there any work time restrictions? Yes No If time restrictions, please explain: ?If no time restrictions, please leave blank. Any other special requirements? Yes No If there are any special requirements, please explain: ?If no special requirements, please leave blank. Please enter the captcha then press 'submit'