Name *

First Name

Last Name

Phone *

(###)

###

####

Have you Secured a Contractor and/or Architect? *

Yes

No

Currently in the Process

Rooms Needing Love *

Entryway/Foyer

Living Room

Dining Room

Bedroom

Kitchen

Bathroom

Playroom

Office

Bonus Room

Whole Home

Commercial Space

Other

Which design service do you anticipate ulitizing? *

Full Service Design, $3,500-$6,000 per room

Digital/E-Design, $2,000 per room

1 hr On Site Design Consultation & Proposal, $500 + extended travel fees tbd

Project Budget *

Consider what you are expecting to spend on everything from Design Services through Construction, Finishes, Furnishings and Decor.

$15,000 - $50,000

$50,000 - $100,000

$100,000 - $300,000

$300,000 -$500,000

$500,000+

Project Timeline *

From today's date, consider when you are expecting the project to be completed from Design Services, through Construction, Finishes, Furnishing and Decor.

6 months - 1 year

1 year - 2 years

2 years +

Sense of Style

Select as many sensibilities that resonate with your taste and/or personality as you like.

Casual

Formal

Glamorous

Edited

Unique

Striking

Durable

Contemporary

Eclectic

Rustic

Grand

Bespoke

Earthy

Color Lover

Color Curious

Need Neutrals

I'd like to receive occasional updates and exclusive offers from beam&bloom *

Yes, please

No, thank you

Who may we thank for sending you our way?

Personal Referral

HGTV

Google Search

Instagram

LinkedIn

Pinterest

Other