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How did you hear about our Design Referral Service Program?Walk InMiromar Design Center WebsiteRealtor ProgramMiromar OutletsWord-of-Mouth

How would you describe your style?TraditionalContemporaryTransitionalEclecticOther (Please explain below)

Type of Dwelling:CondoSingle-Family HomeCommercial SpaceOther (Please explain below)

Residence Type:Primary ResidenceSecond Home

How many rooms will be part of this project?1-2 2-3 3-4 4 or more

Describe the scope of your project:

What is your approximate budget?$0.00 - $5,000$5,001 - $25,000$25,001 - $50,000$50,001 - $100,000More then $100,000 Not Sure

Square footage (under air) of the project?0 to 2,000 sq feet 2,000 to 10,000 sq feet 10, 000 to 20,000 sq ft20,000 +

Who will be using the space?

Describe the feel and style you want to create? Casual vs. Formal?

Do you cook?YesNo

Do you entertain a lot? YesNo

What is the most important thing to you about working with a designer?

Best way to communicate:Cell PhoneHome PhoneE-Mail

Best time to Communicate:

Start date:

Desired finish date:

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