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Required fields noted by * below

Contact info

First name*

Last name*

Contact times*

	Any Phone — Anytime
	Cell Phone — Anytime

	Morning
	Mid-day

	Evening
	Weekend

Contact methods

Day phone*

Evening phone

Cell Phone

Email*

Location

Address line 1*

Address line 2

City*

State

ZIP code*

What type of design preparation has been done?

	Sketches and/or basic idea of project
	Professional drawings (complete set of plans)
	Permits pulled
	None

What is the square footage of the kitchen you want to remodel? Note: small = approx. 140, large = approx. 220

How extensively do you want to remodel your kitchen? (Check all that apply)

	Repair water damage
	Replace/Update a few features
	Replace/Update everything
	Rearrange layout
	Accommodate disabilities/special needs
	Enlarge into other space inside of home
	Create great room by combining with other space in home
	Not sure

Choose the appropriate status for this project:*

What features will be changed/added in your remodel? (Check all that apply)

When would you like this request to be completed?*

Do you have any special elements to be included? (Check all that apply)

	Custom/Special wood cabinets
	Natural stone countertops
	Solid surface (ie Corian) countertops
	Hardwood/Laminate flooring
	New island w/plumbing, electrical, stove
	Commercial grade appliances
	Other

Do you need financing?*

What level of craftsmanship and materials do you expect?

	Good - I want a balance between quality and price
	Moderate - timing and/or price are more important to me
	High End - I prefer the highest quality craftsmanship and materials
	Don't Know