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Name______________________________ Fax number: (____)__________________

e-mail:______________________________Phone: (____)______________________

Circle Room: Kitchen Bathroom Media Other_________________________________

What are your walls made of?

(

circle one)

Drywall

Plaster

Other_________________

ABOVE THE FINISHED FLOOR: It is important to note whether you are changing your existing floor? Y/N ____. When you remove old cabinets, there will be a footprint created by any flooring that was installed up to the cabinet toe boards. If you are not planning to install a new floor, this footprint will have to be followed for the new design. Be sure to include dimensions of your cabinet footprint on the floor plan. New floors are usually installed under the cabinet boxes. Please consider finished floor changes and soffit changes when you enter the ceiling height (CH) in your drawing.

What appliances are you keeping or buying new. If you are buying new, be sure to note the make and model numbers so we can obtain the manufacturer's specifications.

Width

_____

Height

_____

Depth

_____

Make

______ _________

Model

Refrigerator

Freezer

_____

_____

_____

_____

_____

_____

______ _________

______ _________

Range

Single/Double Wall Oven

_____

_____

_____

_____

_____

_____

______ _________

______ _________

Cooktop

Warming Drawer

_____

_____

_____

_____

_____

_____

______ _________

______ _________

Dishwasher

Disposal

_____

_____

_____

_____

_____

_____

______ _________

______ _________

Compactor

Exhaust Hood

_____

_____

_____

_____

_____

_____

______ _________

______ _________

Microwave (countertop)

Microwave (range hood)

_____

_____

_____

_____

_____

_____

______ _________

______ _________

Microwave (build-in)

Washer

_____

_____

_____

_____

_____

_____

______ _________

______ _________

Dryer

Media Room Componants

_____

_____

_____

_____

_____

_____

______ _________

______ _________

_________________

_________________

_____

_____

_____

_____

_____

_____

______ _________

______ _________

_________________

_________________

_____

_____

_____

______

_____

_____

______ _________

______ _________

Other_______________

_________________

_____

_____

_____

_____

_____

_____

______ _________

______ _________

_________________

_________________

_____

_____

_____

______ _________

PLUMBING

Kithcen Sink

_____

_____

_____

_____

_____

_____

Bar Sink

Toilet

_____

_____

_____

_____

_____

_____

Tub

MEASUREING FORM (Use in conjunction with the Measurement Guide Pages)

  _____

_____

_____

_____

_____

_____

Bidet

Lavatory

Other_______________

_____

_____

_____

_____

_____

_____

___________________

OPENINGS AND OPSTACLES: Using the examples shown on draft samples pages, write in the height, width, and depth of any openings (windows, doors, passthroughts) or obstacles (pipe chase, electric service box, niches) etc.

Which Cabinet Manufacturer? ___________________________________________________

What door style? ____________________________________

(circle one)

Arch  - Catherdral - Square top

Wood species?___________________________________  What stain? __________________________

Paint? ___________________________ Glaze?___________________________Distressed?

(circle)

Y/N

You can figure out your cost from out Services and Fees page. As soon as we receive measurement information via our toll free fax number (877-963-7675), we will set up a conference call to go over your wish list and design information. At that time we can determine the scope of your project and you can use our Services and Fees page to send your retainer or full payment through Pay Pal. We look forward to helping you create our dream space.