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Name:

Phone

Email

Are you a: Are you a: Real Estate Professional Home Owner

Preferred Method of Contact: Preferred Method of Contact: Phone Email

Have you used Home Staging Services before? Have you used Home Staging Services before? Yes No

How Did You Hear About Us? How Did You Hear About Us? Houzz Pinterest Web Search Referral Other

Services Required: Services Required: Home Staging ReDesign (Additional Pre-Staging “Prep-Work” Services available upon request) Decorate & ReDesign New Home Personal & Corporate Staging

Number of Bedrooms: Number of Bedrooms: 1 2 3 4 Other

Number of Bathrooms: Number of Bathrooms: 1 2 3 4 Other

Number of Garages: Number of Garages: 1 2 3 4 Other

Finished Basement? Finished Basement? Yes No

Do You Have Any Pets? Do You Have Any Pets? Yes No

Preferred Method of Payment: Preferred Method of Payment: Direct Deposit Interact Cash Other

Square Footage of Home:

Additional Comments/Special Requests