Name *

First Name

Last Name

Spouse/Partner (if applicable)

First Name

Last Name

Phone *

(###)

###

####

Billing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Project Address (if different from billing address)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you rent or own the property?

Rent

Own

What design work are you looking for with Elm Home Design? *

Check all that apply.

Kitchen/Bath remodel

Full-service interior design (i.e. full room re-vamp)

Designer for a day

Holiday decorating (interior only)

Home staging (for rental or resale)

Hourly design

Define your design style. *

Please check all that apply.

Traditional/Classic

Eclectic

Bohemian

Farmhouse Chic

Mid-century Modern

Modern and Sleek

Transitional

I have no idea

Who else will be involved in the design process? *

Just me, myself, and I

Spouse/significant other

Whole family

Friends

All of the above

Do you have your own contractors or sub-contractors for this project? or Will you be needing Elm Home Design to handle all hiring and managing of sub-contractors? *

I have my own sub-contractors that I will be using

I do not have my own sub-contractors, but I do not think they will be needed for this project

I do not have my own sub-contractors, and I want Elm Home Design to handle that

I do have my own sub-contractors, but I will need Elm Home Design's assistance with some sub-contractors

What is your planned investment for this project? *

$0 - $5,000

$5,000 - $15,000

$15,000 - $25,000

$25,000 - $50,000

$50,000 - $100,000

Over $100,000