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

Do you rent or own the property?

Rent

Own

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

Check all that apply.

Room layout

Furniture selection

Wall decor

Accessories

Selecting finishes

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

What is your planned investment for this project? This will determine all product lists and furniture selections. *

$0 - $5,000

$5,000 - $15,000

$15,000 - $25,000

$25,000 - $50,000

$50,000 - $100,000

Over $100,000

How did you hear about Elm Home Design? *

Referral

Website

Instagram/Social Media

Advertising

Other